Active NPI
Susan Dawn Griffith, MSPT
- Physical Therapist
- San Diego, CA
National Provider Identifier
1154685659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 38321
- Practice address
- 9610 Granite Ridge Dr Ste C
San Diego, CA 92123-2684 - Phone
- (858) 573-0550
- NPI assigned
- Jun 28, 2012
- 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 | 38321 | CA | Primary |
Addresses
Primary practice location
9610 Granite Ridge Dr Ste C
San Diego, CA 92123-2684
Mailing address
43980 Mahlon Vail Cir # 204
Temecula, CA 92592-9602
Phone (951) 303-2867
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1159720 | TX | MD | Licensed Practical Nurse |
| 38321 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340841600000",
"number": "1154685659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43980 MAHLON VAIL CIR # 204",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925929602",
"telephone_number": "951-303-2867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9610 GRANITE RIDGE DR STE C",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921232684",
"telephone_number": "858-573-0550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFITH",
"first_name": "SUSAN",
"middle_name": "DAWN",
"credential": "MSPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-28",
"last_updated": "2012-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "38321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.