Healthcare Provider Details

I. General information

NPI: 1669462289
Provider Name (Legal Business Name): RONALD G GREER MS/PT/OTR
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 10/25/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4860 RUCKER RD
MONETA VA
24121-5281
US

IV. Provider business mailing address

4860 RUCKER RD
MONETA VA
24121-5281
US

V. Phone/Fax

Practice location:
  • Phone: 540-297-7867
  • Fax: 540-297-7836
Mailing address:
  • Phone: 540-297-7867
  • Fax: 540-297-7836

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number0119000233
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: