Active NPI
Michael G Griffith
- Physical Therapist
- Broken Arrow, OK
National Provider Identifier
1174719264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3524
- 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
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 | 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3524 | OK | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stein Ancillary Services, LLC | Physical Therapist | Current | 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.
-
- Rehabilitation Practitioner
- Fort Smith, AR
- NPI 1073591582
OK, Physical Therapist
-
- Physical Therapist
- Broken Arrow, OK
- NPI 1003072729
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.