# JAN GREENE PHYSICAL THERAPY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023125960
- **Authorized official:** JAN M GREENE PT (PHYSICAL THERAPIST OWNER)
- **Authorized official phone:** (413) 445-8030

## Contact information

- **Practice address:** 212 SOUTH STREET, PITTSFIELD, MA 01201-6895
- **Practice address phone:** (413) 445-8030
- **Practice address fax:** (413) 445-8033
- **Mailing address:** 212 SOUTH STREET, PITTSFIELD, MA 01201-6895
- **Mailing address phone:** (413) 445-8030
- **Mailing address fax:** (413) 445-8033

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 08/24/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000036869 | BMC HEALTH NET PLAN | MA |
| 01 | — | 0826773 | CIGNA | MA |
| 01 | — | 37363 | HEALTH NEW ENGLAND | MA |
| 01 | — | 693866 | TUFTS | MA |
| 05 | — | 9764640 | — | MA |
| 01 | — | Y61476 | BLUE CROSS BLUE SHIELD | MA |