Individual provider Active NPI

Patrick Griffin

  • Orthopedic Physical Therapist
  • Skaneateles, NY
National Provider Identifier
1356711915
Registry record updated Mar 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Practice address
791 W Genesee Street Rd
Skaneateles, NY 13152-9377
Phone
(315) 685-7544
NPI assigned
Sep 25, 2015
Last updated
Mar 21, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X Primary

Addresses

Primary practice location

791 W Genesee Street Rd
Skaneateles, NY 13152-9377

Mailing address

2809 Boston St
Apt 111
Baltimore, MD 21224-4815
Phone (570) 877-3335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190425000053 MD Practitioner - Physical Therapist in Private Practice 0840581120 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

133 Defense Hwy
Annapolis, MD 21401-7015

15 W Aylesbury Rd
Suite 502
Timonium, MD 21093-4142
Phone (443) 441-0670

7120 Golden Ring Rd
Suite 123
Baltimore, MD 21221-3161
Phone (443) 441-0663

802 Kenilworth Dr
Towson, MD 21204-2201
Phone (443) 441-0637

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26034MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Oct 1, 2023 Accepting new patients
Privia Medical Group, LLC CurrentSince Oct 1, 2023 Accepting new patients
Felice Physical Therapy Orthopedic CurrentSince Mar 21, 2019 Accepting new patients

Locations

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

10 Light St
Baltimore, MD 21202
Phone (410) 202-8581

11270 Pepper Rd
Hunt Valley, MD 21031
Phone (410) 708-4763

802 Kenilworth Dr
Towson, MD 21204
Phone (443) 441-0637

11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

Interoperability endpoints

  • Direct secure messaging: patrick.griffin.1@8042.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1443139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1356711915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 BOSTON ST",
            "address_2": "APT 111",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212244815",
            "telephone_number": "570-877-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "791 W GENESEE STREET RD",
            "city": "SKANEATELES",
            "state": "NY",
            "postal_code": "131529377",
            "telephone_number": "315-685-7544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "PATRICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-25",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skaneateles, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.

Verify at the official NPI Registry.