Kaleb Griffel, DPT PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT39591 Issued in FL

Practice address

1 University Blvd
St Augustine, FL 32086-5799

Phone

(904) 829-3411

Fax

(904) 829-3412

NPI assigned

Dec 2, 2022

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

First Coast Physical Therapy IncGroup PAC ID 9436255973, 16 clinicians

Coastal Rehab and Sports MedicineGroup PAC ID 5294977666, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Coastal Rehab and Sports Medicine

  • Physical Therapy Clinic/Center
  • Palm Coast, FL
  • NPI 1982946810

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• First Coast Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • St Augustine, FL
  • NPI 1003823709

  Physical Therapist

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1669939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1023728862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY BLVD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865799",
            "telephone_number": "904-829-3411",
            "fax_number": "904-829-3412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY BLVD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865799",
            "telephone_number": "904-829-3411",
            "fax_number": "904-829-3412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 Blackford Way",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320861882",
            "country_code": "US",
            "telephone_number": "904-907-1122",
            "fax_number": "904-907-1123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIFFEL",
        "first_name": "KALEB",
        "credential": "DPT PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-02",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT39591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Gregory
• Erin Elizabeth Walsh Gregos
• Nicole Lynn Gress, CNM
• Amanda Kay Griener, MPT
• Geordie Vincent Griener, MPT
• Christiana Griffith-Keith, LCSW
• James M Grimes, MD
• Janet Griswold, LCSW
• Marina Grivois
• Elisha Grob

• Physical Therapist in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.