Active NPI
Marty Griffin
- Physical Therapist
- Florence, AL
National Provider Identifier
1386700466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH3647
- Practice address
- 416 N Seminary St
Suite 1000
Florence, AL 35630-4657 - Phone
- (256) 764-9001
- NPI assigned
- Dec 31, 2006
- 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 | PTH3647 | AL | Primary |
Addresses
Primary practice location
416 N Seminary St
Suite 1000
Florence, AL 35630-4657
Mailing address
19305 Richter Rd
Rogersville, AL 35652-8521
Other practice location 1
22423 US Highway 72 Ste B
Athens, AL 35613-2663
Phone (256) 232-1221
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PTH3647 | Other | AL | PHYSICAL THERAPY LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH3647 | AL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-South Home Health, LLC | Past | Accepting new patients | |
| Encore Rehabilitation Inc | Past | Accepting new patients |
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
- Athens, AL
- NPI 1861527954
-
- Home Health Agency
- Mobile, AL
- NPI 1457502452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637280000000",
"number": "1386700466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19305 RICHTER RD",
"city": "ROGERSVILLE",
"state": "AL",
"postal_code": "356528521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 N SEMINARY ST",
"address_2": "SUITE 1000",
"city": "FLORENCE",
"state": "AL",
"postal_code": "356304657",
"telephone_number": "256-764-9001"
}
],
"practiceLocations": [
{
"address_1": "22423 US Highway 72 Ste B",
"address_purpose": "LOCATION",
"city": "Athens",
"state": "AL",
"postal_code": "356132663",
"country_code": "US",
"telephone_number": "256-232-1221",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRIFFIN",
"first_name": "MARTY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-31",
"last_updated": "2021-11-19",
"certification_date": "2021-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH3647",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY LICENSE",
"identifier": "PTH3647",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Florence, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.