Individual provider Active NPI

Robert Gavin Griffin, DPT

  • Physical Therapist
  • Rainbow City, AL
National Provider Identifier
1083542047
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH12678 Issued in AL
Practice address
3102 Rainbow Dr Ste 200
Rainbow City, AL 35906-5804
Phone
(256) 543-0717
Fax
(256) 543-0718
NPI assigned
May 11, 2026
Last updated
May 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH12678 AL Primary

Addresses

Primary practice location

3102 Rainbow Dr Ste 200
Rainbow City, AL 35906-5804

Mailing address

3102 Rainbow Dr Ste 200
Rainbow City, AL 35906-5804
Phone (256) 543-0717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260529001123 AL Practitioner - Physical Therapist in Private Practice 5597235648 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2026
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sparks Physical Therapy IncGroup PAC ID 5597195727, 12 clinicians

Practice addresses (Care Compare)

3102 Rainbow Dr
Suite 200
Rainbow City, AL 35906-5804
Phone (256) 543-0717

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH12678ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sparks Physical Therapy Inc Physical Therapist CurrentSince May 15, 2026 Accepting new patients

Locations

3102 Rainbow Dr
Ste 200
Rainbow City, AL 35906
Phone (256) 543-0717

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": "1778457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1083542047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3102 RAINBOW DR STE 200",
            "city": "RAINBOW CITY",
            "state": "AL",
            "postal_code": "359065804",
            "telephone_number": "256-543-0717",
            "fax_number": "256-543-0718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3102 RAINBOW DR STE 200",
            "city": "RAINBOW CITY",
            "state": "AL",
            "postal_code": "359065804",
            "telephone_number": "256-543-0717",
            "fax_number": "256-543-0718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "ROBERT",
        "middle_name": "GAVIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-05-11",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH12678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rainbow City, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.