Active NPI
Cory Edwin Griffin, PTA
- Physical Therapy Assistant
- Griffin, GA
National Provider Identifier
1124562111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA003469
- Practice address
- 1438 Highway 16 W Ste C
Griffin, GA 30223-2096 - Phone
- (770) 233-0350
- Fax
- (770) 233-0370
- NPI assigned
- Dec 9, 2016
- Sex
- Male
- Sole proprietor
- No
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 Therapy Assistant | 225200000X | PTA003469 | GA | Primary |
Addresses
Primary practice location
1438 Highway 16 W Ste C
Griffin, GA 30223-2096
Mailing address
6397 Lee Hwy Ste 300
Chattanooga, TN 37421-2564
Phone (423) 238-7217
Other practice location 1
686 S 8th St
Griffin, GA 30224-4214
Phone (770) 229-5068
Other practice location 2
686 S 8th St
Griffin, GA 30224-4214
Phone (770) 229-5068
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA003469 | GA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Care Rehabilitation Physical Therapy Services, Inc. | 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 and National Provider Directory roles.
-
- Physical Therapist
- Griffin, GA
- NPI 1912013608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1124562111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6397 LEE HWY STE 300",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374212564",
"telephone_number": "423-238-7217",
"fax_number": "423-362-8684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1438 HIGHWAY 16 W STE C",
"city": "GRIFFIN",
"state": "GA",
"postal_code": "302232096",
"telephone_number": "770-233-0350",
"fax_number": "770-233-0370"
}
],
"practiceLocations": [
{
"address_1": "686 S 8th St",
"address_purpose": "LOCATION",
"city": "Griffin",
"state": "GA",
"postal_code": "302244214",
"country_code": "US",
"telephone_number": "770-229-5068",
"fax_number": "770-228-8353",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "686 S 8th St",
"address_purpose": "LOCATION",
"city": "Griffin",
"state": "GA",
"postal_code": "302244214",
"country_code": "US",
"telephone_number": "770-229-5068",
"fax_number": "770-228-8353",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRIFFIN",
"first_name": "CORY",
"middle_name": "EDWIN",
"name_prefix": "Mr.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-12-09",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "GA",
"license": "PTA003469",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Griffin, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.