David Brock Griffith, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

26300 Issued in FL

Practice address

1727 2ND St Ste 2
Sarasota, FL 34236-8524

Phone

(941) 951-0170

Fax

(941) 993-1088

NPI assigned

Jun 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Club 50, LLCGroup PAC ID 4789902578, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Club 50, LLC

  • Physical Therapy Clinic/Center
  • Sarasota, FL
  • NPI 1386034825
  Medicare reassignment Care Compare group NPD
• Coastal Orthopedics & Sports Medicine of Southwest FL, PA

  • Specialist
  • Bradenton, FL
  • NPI 1811134794
  NPD (past)
• Maxider Corporation

  • Physical Therapist
  • Sarasota, FL
  • NPI 1568734473
  NPD (past)
• Dynamic Physical Therapy

  • Physical Therapist
  • Bear, DE
  • NPI 1306875984
  NPD (past)
• Dynamic Therapy Services LLC

  • Physical Therapist
  • Seaford, DE
  • NPI 1205875093
  NPD (past)
• Dynamic Therapy Services, LLC

  • Occupational Therapist
  • Rehoboth Beach, DE
  • NPI 1225637051

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541462400000",
    "number": "1366480212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1727 2ND ST STE 2",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342368524",
            "telephone_number": "941-951-0170",
            "fax_number": "941-993-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1727 2ND ST STE 2",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342368524",
            "telephone_number": "941-951-0170",
            "fax_number": "941-993-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFITH",
        "first_name": "DAVID",
        "middle_name": "BROCK",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2018-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT016735",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0001822",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "26300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPCI",
            "identifier": "000051057",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366480212",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK  PA BLUE SHIELD",
            "identifier": "2135023",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "3744641000",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "G02348D12",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00359628",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1204047380001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brett M Griffin, PA-C
• Deborah Griffin
• Jennifer Lynn Griffin, ARNP
• Sarah Griffin
• Sheena Marie Griffin
• James J Griffith, M.D.
• Nathan James Griffiths-Tention, PTA
• Marc A Grinberg, M.D.
• Alan B Grindal, MD
• Kimberly Grisanti, APRN

• Physical Therapist in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; 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.