Joseph A Grispin, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

2051 Baldwin Rd Ste 101
Yorktown Heights, NY 10598-4047

Phone

(914) 302-2190

NPI assigned

Mar 3, 2019

Last updated

Apr 13, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Soaring Eagle Physical Therapy PC

  • Physical Therapist
  • Yorktown Heights, NY
  • NPI 1346285194
  NPD (past)

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

{
    "created_epoch": "1551571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1326506981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 OVERHILL RD",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105412336",
            "telephone_number": "845-591-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 BALDWIN RD STE 101",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105984047",
            "telephone_number": "914-302-2190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 N Salem Rd",
            "address_purpose": "LOCATION",
            "city": "Cross River",
            "state": "NY",
            "postal_code": "105181104",
            "country_code": "US",
            "telephone_number": "914-875-9329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "395 Danbury Rd",
            "address_purpose": "LOCATION",
            "city": "Wilton",
            "state": "CT",
            "postal_code": "068972093",
            "country_code": "US",
            "telephone_number": "203-247-7653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRISPIN",
        "first_name": "JOSEPH",
        "middle_name": "A",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-03",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "004154",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CT",
            "license": "1547",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Athletic Trainer in Yorktown Heights, NY
• Providers in Yorktown Heights, NY by specialty
• Athletic Trainer in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; 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.