Active NPI
Gale Rene' Griffith, PT
- Physical Therapist
- Moline, IL
National Provider Identifier
1033415633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.010836
- Practice address
- 4360 7TH St
Moline, IL 61265-6867 - Phone
- (309) 762-6676
- NPI assigned
- Jan 31, 2011
- Last updated
- Jan 31, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070.010836 | IL | Primary |
Addresses
Primary practice location
4360 7TH St
Moline, IL 61265-6867
Mailing address
1589 Crimson King CT
Geneseo, IL 61254-8649
Phone (309) 945-6864
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.010836 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bryant Chiropractic PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296432000000",
"number": "1033415633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1589 CRIMSON KING CT",
"city": "GENESEO",
"state": "IL",
"postal_code": "612548649",
"telephone_number": "309-945-6864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4360 7TH ST",
"city": "MOLINE",
"state": "IL",
"postal_code": "612656867",
"telephone_number": "309-762-6676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFITH",
"first_name": "GALE",
"middle_name": "RENE'",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-31",
"last_updated": "2011-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.010836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moline, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.