Individual provider Active NPI

Matthew S Griffin, P.T.

  • Physical Therapist
  • Pottsville, PA
National Provider Identifier
1295045524
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT020989 Issued in PA
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

Updated by the provider on Jan 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.