Healthcare Provider Details

I. General information

NPI: 1477495778
Provider Name (Legal Business Name): AMY MARIE GREER MPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2026
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 E ORANGETHORPE AVE
PLACENTIA CA
92870-5302
US

IV. Provider business mailing address

18262 TIMBERLANE DR
YORBA LINDA CA
92886-5345
US

V. Phone/Fax

Practice location:
  • Phone: 714-986-7000
  • Fax:
Mailing address:
  • Phone: 714-724-8561
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number23581
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: