Individual provider Active NPI

Tricia Anne Griese, PT

  • Physical Therapist
  • Mt. Morris, NY
National Provider Identifier
1568607331
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
014296-1 Issued in NY
Practice address
Kid Start
5871 Groveland Station Rd
Mt. Morris, NY 14510
Phone
(585) 658-4023
Fax
(585) 658-4066
NPI assigned
Dec 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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 014296-1 NY Primary

Addresses

Primary practice location

Kid Start
5871 Groveland Station Rd
Mt. Morris, NY 14510

Mailing address

Kid Start
5871 Groveland Station Rd
Mt. Morris, NY 14510
Phone (585) 658-4023

Other names 1

  • Tricia Anne Guerin Former name

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
014296-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Livingston County PastSince Dec 24, 2023 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1568607331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "KID START",
            "address_2": "5871 GROVELAND STATION RD",
            "city": "MT. MORRIS",
            "state": "NY",
            "postal_code": "14510",
            "telephone_number": "585-658-4023",
            "fax_number": "585-658-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KID START",
            "address_2": "5871 GROVELAND STATION RD",
            "city": "MT. MORRIS",
            "state": "NY",
            "postal_code": "14510",
            "telephone_number": "585-658-4023",
            "fax_number": "585-658-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIESE",
        "first_name": "TRICIA",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-09",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "014296-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRICIA",
            "last_name": "GUERIN",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mt. Morris, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; 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.