William Griffin

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

11063 Chandler Dr
Hollywood, FL 33026-4739

Phone

(407) 230-4591

NPI assigned

Nov 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

May accept Medicare assignment

Group practices

Endurance Sports Performance and Rehabilitation, IncGroup PAC ID 2062640592, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Endurance Sports Performance and Rehabilitation, Inc

  • Physical Therapy Clinic/Center
  • Longmont, CO
  • NPI 1457624439
  Medicare reassignment Care Compare group NPD Authorized official
• Altitude Physical Therapy & Sports Medicine LLC

  • Physical Therapy Clinic/Center
  • Longmont, CO
  • NPI 1235729567
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329782400000",
    "number": "1255419552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11063 CHANDLER DR",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330264739",
            "telephone_number": "407-230-4591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11063 CHANDLER DR",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330264739",
            "telephone_number": "407-230-4591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "WILLIAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2012-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "22897",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shama R Gresseau, APRN
• Amanda R Grieco, APRN
• Latonya Grier, PTA
• Tara Elizabeth Griffin
• Tiffany Griffin, ED.S.
• Francis Griffith, ARNP
• Marina Grigorova, LMHC
• Juanita Christene Grillo, APRN
• Ana Christina Grimsley, RDN, LD/N
• Vladimir Grnja, MD

• Physical Therapist in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.