Sarah Jane Griffin, PT, DPT – Physical Therapist

Key facts

NPI: 1184400301
Entity type: Individual (NPI type 1)
Primary specialty: Physical Therapist 225100000X
License: 070026141 (IL)
Practice address: 211 W Hardanger Gate
Lee, IL 60530-9720
Phone: (309) 363-4711
NPI assigned: Sep 4, 2023
Sex: Female
Sole proprietor: Yes

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
207086	AK	MD	Physical Therapist
116232	IA	MD	Physical Therapist
070026141	IL	MD	Physical Therapist

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapist	225100000X	116232	IA
Physical Therapist	225100000X	207086	AK
Physical Therapist	225100000X	070026141	IL	Yes

Addresses

Primary practice location

211 W Hardanger Gate
Lee, IL 60530-9720

Mailing address

211 W Hardanger Gate
Lee, IL 60530-9720
Phone (309) 363-4711

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 4, 2023.

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693785600000",
    "number": "1184400301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 W HARDANGER GATE",
            "city": "LEE",
            "state": "IL",
            "postal_code": "605309720",
            "telephone_number": "309-363-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W HARDANGER GATE",
            "city": "LEE",
            "state": "IL",
            "postal_code": "605309720",
            "telephone_number": "309-363-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "SARAH",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-04",
        "last_updated": "2023-09-04",
        "certification_date": "2023-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "116232",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "207086",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070026141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee, IL

Jacob Wayne Sharp, DPT

All providers in Lee, IL · Physical Therapist in Illinois

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.