Individual provider Active NPI

Marty Griffin

  • Physical Therapist
  • Florence, AL
National Provider Identifier
1386700466
Registry record updated Nov 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH3647 Issued in AL
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

Updated by the provider on Nov 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PTH3647OtherALPHYSICAL 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

LicenseStateTypeSpecialty
PTH3647ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.