MEDICARE: JAYLAN TAMAIYA GREEN

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	1407691	TX

General Provider Information

NPI Number	:	1457214686
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAYLAN TAMAIYA GREEN

Provider Business Mailing Address
First Line	:	4606 FM 1960 RD W STE 520
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77069-4629
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4606 FM 1960 RD W STE 520
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77069-4629
Country	:	US
Telephone Number	:	346-333-2794
Fax Number	:

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

Provider Enumeration Date	:	12/04/2025
Last Update Date	:	12/04/2025

Similar Medicare Providers

1124561055 — PREMIER HOSPICE LLC
Practice Location Address:

4606 FM 1960 RD W STE 675
HOUSTON, TX
77069-4629

Practice Phone: 832-610-9733
Practice Fax: 346-998-1662

1639694219 — DEVIN METOYER
Practice Location Address:

4606 FM 1960 RD W STE 520
HOUSTON, TX
77069-4629

Practice Phone: 346-333-2794
Practice Fax:

1356802755 — AMENITY HEALTH SERVICES PLLC
Practice Location Address:

4606 FM 1960 RD W STE 520
HOUSTON, TX
77069-4629

Practice Phone: 346-333-2794
Practice Fax: 832-404-2649

1619599982 — METRO PALLIATIVE & HOSPICE CARE INC
Practice Location Address:

4606 FM 1960 RD W STE 675
HOUSTON, TX
77069-4629

Practice Phone: 832-805-5453
Practice Fax:

1629680277 — ELIZABETH C SUEING PT, DPT
Practice Location Address:

4606 FM 1960 RD W STE 520
HOUSTON, TX
77069-4629

Practice Phone: 346-333-2794
Practice Fax: 662-349-8757

1164180675 — EPHAH GROUP LP
Practice Location Address:

4606 FM 1960 RD W STE 675
HOUSTON, TX
77069-4629

Practice Phone: 832-610-9733
Practice Fax: 346-998-1662

Directions to “ JAYLAN TAMAIYA GREEN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.