Active NPI
Matthew S Griffin, P.T.
- Physical Therapist
- Pottsville, PA
National Provider Identifier
1295045524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT020989
- Practice address
- 1666 Mount Hope Ave
Pottsville, PA 17901-1302 - Phone
- (570) 622-2525
- Fax
- (570) 628-4572
- NPI assigned
- Oct 20, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT020989 | PA | Primary |
Addresses
Primary practice location
1666 Mount Hope Ave
Pottsville, PA 17901-1302
Mailing address
1666 Mount Hope Ave
Pottsville, PA 17901-1302
Phone (570) 622-2525
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484092800000",
"number": "1295045524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1666 MOUNT HOPE AVE",
"city": "POTTSVILLE",
"state": "PA",
"postal_code": "179011302",
"telephone_number": "570-622-2525",
"fax_number": "570-628-4572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1666 MOUNT HOPE AVE",
"city": "POTTSVILLE",
"state": "PA",
"postal_code": "179011302",
"telephone_number": "570-622-2525",
"fax_number": "570-628-4572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFIN",
"first_name": "MATTHEW",
"middle_name": "S",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-20",
"last_updated": "2017-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT020989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pottsville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.