Active NPI
Cameron Michael Griffith, P.T.
- Physical Therapist
- Brighton, MI
National Provider Identifier
1427129659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501006866
- Practice address
- 5757 Whitmore Lake
Suite 900
Brighton, MI 48116-1956 - Phone
- (810) 220-5793
- Fax
- (810) 220-5805
- NPI assigned
- Nov 10, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 5501006866 | MI | |
| Physical Therapist | 225100000X | 5501006866 | MI | Primary |
Addresses
Primary practice location
5757 Whitmore Lake
Suite 900
Brighton, MI 48116-1956
Mailing address
9368 N Lilley Rd
Plymouth, MI 48170-4610
Phone (734) 416-3900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 700C810410 | Other | MI | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
141 Atrium Way
Columbia, SC 29223-6301
Phone (803) 788-8484
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11700 | SC | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Physical Therapy and Sports Medicine Limited Partnership | Physical Therapist | Current | Accepting new patients |
Locations
141 Atrium Way
Columbia, SC 29223
Phone (803) 788-8484
Organizations & group practices 1
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 Therapist
- Columbia, SC
- NPI 1487180881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473811200000",
"number": "1427129659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9368 N LILLEY RD",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481704610",
"telephone_number": "734-416-3900",
"fax_number": "734-416-3903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5757 WHITMORE LAKE",
"address_2": "SUITE 900",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481161956",
"telephone_number": "810-220-5793",
"fax_number": "810-220-5805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFITH",
"first_name": "CAMERON",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-10",
"last_updated": "2016-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MI",
"license": "5501006866",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501006866",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "700C810410",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brighton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; 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.