Active NPI
Dorothy Jean Griggs
- Developmental Therapist
- New Lenox, IL
National Provider Identifier
1235357658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- License
- DG28560401P
- Practice address
- 3405 Avondale LN
New Lenox, IL 60451-8610 - Phone
- (815) 463-9364
- NPI assigned
- Apr 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | DG28560401P | IL | Primary |
Addresses
Primary practice location
3405 Avondale LN
New Lenox, IL 60451-8610
Mailing address
3405 Avondale LN
New Lenox, IL 60451-8610
Phone (815) 463-9364
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DG28560401P | IL | MD | Developmental Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235357658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3405 AVONDALE LN",
"city": "NEW LENOX",
"state": "IL",
"postal_code": "604518610",
"telephone_number": "815-463-9364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3405 AVONDALE LN",
"city": "NEW LENOX",
"state": "IL",
"postal_code": "604518610",
"telephone_number": "815-463-9364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIGGS",
"first_name": "DOROTHY",
"middle_name": "JEAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "IL",
"license": "DG28560401P",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Lenox, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.