Active NPI
Antwon Jamel Griffin, MOT, OTR/L
- Occupational Therapist
- Charlotte, NC
National Provider Identifier
1386974657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 12795
- Practice address
- 1346 Mandy Place CT
Charlotte, NC 28216-8789 - Phone
- (252) 945-7398
- NPI assigned
- Jan 7, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5686 | SC | |
| Occupational Therapist | 225X00000X | 12795 | NC | Primary |
Addresses
Primary practice location
1346 Mandy Place CT
Charlotte, NC 28216-8789
Mailing address
1346 Mandy Place CT
Charlotte, NC 28216-8789
Phone (252) 945-7398
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12795 | NC | MD | Occupational Therapist |
| 5686 | SC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570060800000",
"number": "1386974657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1346 MANDY PLACE CT",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282168789",
"telephone_number": "252-945-7398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1346 MANDY PLACE CT",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282168789",
"telephone_number": "252-945-7398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFIN",
"first_name": "ANTWON",
"middle_name": "JAMEL",
"credential": "MOT, OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-01-07",
"last_updated": "2019-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "5686",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "12795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.