Matthew Griffis

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT297406 Issued in CA

Practice address

614 N Freeman St
Oceanside, CA 92054-2417

Phone

(321) 274-2745

NPI assigned

Jun 20, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Sand Coast Rehab Physical Therapy Inc

  • Physical Therapist
  • Lakewood, NJ
  • NPI 1639766603

  CA

  Medicare reassignment

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1134579394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 N FREEMAN ST",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920542417",
            "telephone_number": "321-274-2745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 N FREEMAN ST",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920542417",
            "telephone_number": "321-274-2745"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Primrose Ln",
            "address_purpose": "LOCATION",
            "city": "Carrboro",
            "state": "NC",
            "postal_code": "275105574",
            "country_code": "US",
            "telephone_number": "321-274-2745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIFFIS",
        "first_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-20",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT297406",
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CA",
            "license": "PT297406",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kym G. Grey, LCSW
• Austin Edward Grieg, DO
• Charity Grieshaber
• Jane Griffin, LCSW
• Anne Griffioen, MD
• Clare Ellery Grimes
• Hana Grimm, RN, NP
• Tammy G Grinde, DC
• Erin Gritzen
• Liana Groel, M.S., A.T.C.

• Physical Therapist in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.