Individual provider Active NPI

Nickolas B Griffith, DPT

  • Physical Therapist
  • Peoria, AZ
National Provider Identifier
1194081034
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9727 Issued in AZ
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

Updated by the provider on Apr 4, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20120608000341 AZ Practitioner - Physical Therapist in Private Practice 3375707078 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9727AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Roc Physical Therapy, PLLC Physical Therapist CurrentSince Dec 26, 2025 Accepting new patients
Recovia Physical Therapy, LLC Physical Therapist CurrentSince Jan 9, 2026 Accepting new patients
Foothills Sports Medicine & Rehabilitation, LLC Physical Therapist CurrentSince Sep 19, 2022 Accepting new patients
Foothills Sports Medicine & Rehabilitation- Tatum, Inc. Physical Therapist CurrentSince Jan 30, 2013 Accepting new patients
Foothills Sports Medicine & Rehabilitation, LLC CurrentSince Sep 19, 2022 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.

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.

Verify at the official NPI Registry.