Individual provider Active NPI

Michael G Griffith

  • Physical Therapist
  • Broken Arrow, OK
National Provider Identifier
1174719264
Registry record updated Feb 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3524 Issued in OK
Practice address
2033 W Houston St
Ste. a
Broken Arrow, OK 74012-8304
Phone
(918) 259-0374
Fax
(918) 259-0376
NPI assigned
Sep 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2009

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 3524 OK Primary

Addresses

Primary practice location

2033 W Houston St
Ste. a
Broken Arrow, OK 74012-8304

Mailing address

200 W Douglas Ave
Ste. 1040
Wichita, KS 67202-3013
Phone (316) 263-0003

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071101000509 OK Practitioner - Physical Therapist in Private Practice 4587751904 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3524OKMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Stein Ancillary Services, LLC Physical Therapist CurrentSince May 28, 2025 Accepting new patients
Preferred Physical Therapy Broken Arrow, PLLC Physical Therapist Past Accepting new patients

Locations

8520 S 36th Ter
Fort Smith, AR 72908
Phone (479) 410-1740

802 Windsong Way
McAlester, OK 74501
Phone (918) 423-7020

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234828800000",
    "number": "1174719264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W DOUGLAS AVE",
            "address_2": "STE. 1040",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023013",
            "telephone_number": "316-263-0003",
            "fax_number": "316-263-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2033 W HOUSTON ST",
            "address_2": "STE. A",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740128304",
            "telephone_number": "918-259-0374",
            "fax_number": "918-259-0376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFITH",
        "first_name": "MICHAEL",
        "middle_name": "G",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-21",
        "last_updated": "2009-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "3524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; 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.