Dylan Chad Griffin, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5907 Issued in TN

Practice address

115 Cumberland PLZ
Crossville, TN 38555-4292

Phone

(931) 787-1244

Fax

(931) 787-1245

NPI assigned

Feb 22, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1407395585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8823 PRODUCTION LN",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373636511",
            "telephone_number": "423-238-7217",
            "fax_number": "423-362-8684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 CUMBERLAND PLZ",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385554292",
            "telephone_number": "931-787-1244",
            "fax_number": "931-787-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "DYLAN",
        "middle_name": "CHAD",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-22",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "5907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Good
• Grace Givers Home Care LLC
• Ronald William Gray, D.C.
• Alexandria Griesser, PA-C
• Jessica Lea Griffin-Cagle, PTA
• Andrew Grimball, MS, CCC-SLP
• Ryan S Grover, M.D.
• Tyler G Gunderson, M.D.
• Patricia Patterson Guthrie, L.C.S.W.
• Jana Guy, RDH

• Physical Therapy Assistant in Crossville, TN
• Providers in Crossville, TN by specialty
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.