Active NPI
Daniel Patrick Clifton Griego, DPT
- Physical Therapist
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT5485
- Practice address
- 6330 Riverside Plaza LN NW Ste 150
Albuquerque, NM 87120-1803 - Phone
- (505) 312-7930
- Fax
- (505) 717-2818
- NPI assigned
- Jun 4, 2019
- 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 | PT5485 | NM | Primary |
Addresses
Primary practice location
6330 Riverside Plaza LN NW Ste 150
Albuquerque, NM 87120-1803
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7849 Tramway Blvd NE
Suite a
Albuquerque, NM 87122-2529
Phone (505) 821-3831
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT5485 | NM | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy at Dawn, LLC | Physical Therapist | Current | Accepting new patients |
| Balanced Physical Therapy and Wellness, LLC | Physical Therapist | Current | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
6330 Riverside Plaza Ln NW
Ste 150
Albuquerque, NM 87120
Phone (505) 312-7930
6330 Riverside Plaza Ln NW
Albuquerque, NM 87120
Phone (505) 312-7930
7849 Tramway Blvd NE
Ste A
Albuquerque, NM 87122
Phone (505) 821-3831
6330 Riverside Plaza Ln NW
Ste 303
Albuquerque, NM 87120
Phone (505) 312-7930
600 Central Ave SE
Ste D
Albuquerque, NM 87102
Phone (505) 242-2294
3510 Coors Blvd SW
Ste D
Albuquerque, NM 87121
Phone (505) 539-1410
240 S Camino del Pueblo
Ste G
Bernalillo, NM 87004
Phone (505) 373-2836
2113 Golf Course Rd SE
Ste 106
Rio Rancho, NM 87124
Phone (505) 898-9700
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Albuquerque, NM
- NPI 1407234917
Physical Therapist
-
- Physical Therapist
- Albuquerque, NM
- NPI 1780695551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559606400000",
"number": "1316505274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "630-296-2222",
"fax_number": "630-759-9510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6330 RIVERSIDE PLAZA LN NW STE 150",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871201803",
"telephone_number": "505-312-7930",
"fax_number": "505-717-2818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIEGO",
"first_name": "DANIEL",
"middle_name": "PATRICK CLIFTON",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-04",
"last_updated": "2019-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "PT5485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; 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.