Active NPI
Tricia Anne Griese, PT
- Physical Therapist
- Mt. Morris, NY
National Provider Identifier
1568607331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 014296-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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 |
|---|---|---|---|
| 014296-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Livingston County | Past | 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.
-
- Community Based Hospice Care Agency
- Mount Morris, NY
- NPI 1326060724
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.