Individual provider Active NPI

Whitney K Griffin, PTA

  • Physical Therapy Assistant
  • Paragould, AR
National Provider Identifier
1457646804
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA 2513 Issued in AR
Practice address
528 Highway 49 N
Paragould, AR 72450-4087
Phone
(870) 560-5270
NPI assigned
Jun 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA 2513 AR Primary

Addresses

Primary practice location

528 Highway 49 N
Paragould, AR 72450-4087

Mailing address

917 Cypress Knoll Dr
Jonesboro, AR 72405-8775
Phone (870) 930-4246

Other practice location 1

1919 Dara Dr
apt. #64
Jonesboro, AR 72401-6721
Phone (870) 930-4246

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

LicenseStateTypeSpecialty
PTA 2513ARMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1457646804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 CYPRESS KNOLL DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724058775",
            "telephone_number": "870-930-4246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 HIGHWAY 49 N",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724504087",
            "telephone_number": "870-560-5270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1919 Dara Dr",
            "address_2": "apt. #64",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "AR",
            "postal_code": "724016721",
            "country_code": "US",
            "telephone_number": "870-930-4246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "WHITNEY",
        "middle_name": "K",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-14",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AR",
            "license": "PTA 2513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paragould, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.