# GREEN TREE THERAPEUTICS LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** White Oak Physical Therapy and Pain Management Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801019088
- **Authorized official:** MR. DAVID MICHAEL BULLOCK P.T. (FOUNDER & CHAIRMAN)
- **Authorized official phone:** (301) 592-8200

## Contact information

- **Practice address:** 11120 NEW HAMPSHIRE AVE, SUITE 506, SILVER SPRING, MD 20904-2633
- **Practice address phone:** (301) 592-8200
- **Practice address fax:** (301) 592-8300
- **Mailing address:** 11120 NEW HAMPSHIRE AVE, SUITE 506, SILVER SPRING, MD 20904-2633
- **Mailing address phone:** (301) 592-8200
- **Mailing address fax:** (301) 592-8300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225400000X | Rehabilitation Practitioner | 21045 | MD | Yes |
| 225400000X | Rehabilitation Practitioner | PT870409 | DC | — |

## Other

- **Enumeration date:** 04/10/2007
- **Last updated:** 03/10/2008