MEDICARE: CAITLIN ROSE GREENSTEIN DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT020409	PA
2	225100000X	Physical Therapist	P14669	NC

General Provider Information

NPI Number	:	1790007490
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAITLIN ROSE GREENSTEIN DPT

Provider Business Mailing Address
First Line	:	1200 CORPORATE DR STE 400
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35242-5424
Country	:	US
Telephone Number	:	919-363-5511
Fax Number	:	919-363-5599

Provider Business Practice Location Address
First Line	:	3434 KILDAIRE FARM RD STE 136
Second Line	:
City	:	CARY
State	:	NC
Zip	:	27518-2277
Country	:	US
Telephone Number	:	919-363-5511
Fax Number	:	919-363-5599

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/22/2010
Last Update Date	:	03/17/2018

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