Active NPI
Nickolas B Griffith, DPT
- Physical Therapist
- Peoria, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9727
- Practice address
- 7707 W Deer Valley Rd
Ste: 105
Peoria, AZ 85382-2101 - Phone
- (623) 376-9100
- Fax
- (623) 376-9141
- NPI assigned
- Apr 4, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 9727 | AZ | Primary |
| Sports Physical Therapist | 2251S0007X | |||
| Orthopedic Physical Therapist | 2251X0800X |
Addresses
Primary practice location
7707 W Deer Valley Rd
Ste: 105
Peoria, AZ 85382-2101
Mailing address
15410 S Mountain Pkwy
Ste: 112
Phoenix, AZ 85044-6691
Phone (480) 706-1161
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9727 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roc Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
| Recovia Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Foothills Sports Medicine & Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
| Foothills Sports Medicine & Rehabilitation- Tatum, Inc. | Physical Therapist | Current | Accepting new patients |
| Foothills Sports Medicine & Rehabilitation, LLC | Current | Accepting new patients | |
| Recovia LLC | Past | Accepting new patients |
Locations
5656 S Power Rd
Ste 139
Gilbert, AZ 85295
Phone (480) 272-7797
6788 S Kings Ranch Rd
Ste 4
Gold Canyon, AZ 85118
Phone (480) 982-1909
1917 S Signal Butte Rd
Ste B106
Mesa, AZ 85209
Phone (480) 272-7797
7707 W Deer Valley Rd
Ste 100
Peoria, AZ 85382
Phone (623) 376-9100
7707 W Deer Valley Rd
Ste 105
Peoria, AZ 85382
Phone (623) 376-9100
2411 W Northern Ave
Ste 201
Phoenix, AZ 85021
Phone (602) 441-1750
15410 S Mountain Pkwy
Ste 112
Phoenix, AZ 85044
Phone (480) 609-0822
19636 N 27th Ave
Ste 106
Phoenix, AZ 85027
Phone (480) 416-7200
4550 E Bell Rd
Ste 270
Phoenix, AZ 85032
Phone (602) 424-0494
3305 N Swan Rd
Ste 115
Tucson, AZ 85712
Phone (520) 321-0204
Organizations & group practices 6
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.
-
- Physical Therapist
- Phoenix, AZ
- NPI 1558318170
-
- Physical Therapist
- Phoenix, AZ
- NPI 1942708334
-
- Physical Medicine & Rehabilitation Physician
- Gilbert, AZ
- NPI 1407360183
Physical Therapist
-
- Physical Therapist
- Phoenix, AZ
- NPI 1386691947
-
- Durable Medical Equipment & Medical Supplies
- Tucson, AZ
- NPI 1073224267
-
- Specialist
- Phoenix, AZ
- NPI 1427421098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333497600000",
"number": "1194081034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15410 S MOUNTAIN PKWY",
"address_2": "STE: 112",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850446691",
"telephone_number": "480-706-1161",
"fax_number": "480-706-7409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7707 W DEER VALLEY RD",
"address_2": "STE: 105",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853822101",
"telephone_number": "623-376-9100",
"fax_number": "623-376-9141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFITH",
"first_name": "NICKOLAS",
"middle_name": "B",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-04",
"last_updated": "2012-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "9727",
"primary": true
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; 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.