Gracie M Griffith, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5008 Issued in TN

Practice address

1636 Woodlawn Ave
Dyersburg, TN 38024-2026

Phone

(731) 285-6400

NPI assigned

Feb 4, 2012

Last updated

Feb 2, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1328313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359763200000",
    "number": "1073885182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 125",
            "city": "TROY",
            "state": "TN",
            "postal_code": "382600125",
            "telephone_number": "731-592-1307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1636 WOODLAWN AVE",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380242026",
            "telephone_number": "731-285-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFITH",
        "first_name": "GRACIE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-04",
        "last_updated": "2013-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "5008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Joseph Granner
• Daniel P Green, MD
• Wendy Hope Greene, CRNA
• Whitney Greene
• Barry Anthony Greenlee, LMFT
• David P Guthrie, MD
• John Algernon Guthrie, OTR/L
• Katie Gwinn
• Heather Haddock, NP
• Felecia Dawn Hall, P.T.A.

• Physical Therapy Assistant in Dyersburg, TN
• Providers in Dyersburg, TN by specialty
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.