Individual provider Active NPI

David Gribbins, PTA

  • Physical Therapy Assistant
  • Lancaster, SC
National Provider Identifier
1609467695
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
3187 Issued in SC
Practice address
901 W Meeting St Ste 200
Lancaster, SC 29720-6200
Phone
(803) 288-1472
NPI assigned
Feb 1, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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 3187 SC Primary

Addresses

Primary practice location

901 W Meeting St Ste 200
Lancaster, SC 29720-6200

Mailing address

4744 Cane Creek Rd
Waxhaw, NC 28173-9282
Phone (980) 254-8861

Other identifiers 1

IdentifierTypeStateIssuer
3187OtherSCCOMMERCIAL INSURANCES

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dgribbi0@email.cpcc.edu Direct

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
3187SCMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1609467695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4744 CANE CREEK RD",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281739282",
            "telephone_number": "980-254-8861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W MEETING ST STE 200",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297206200",
            "telephone_number": "803-288-1472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIBBINS",
        "first_name": "DAVID",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-01",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "3187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL INSURANCES",
            "identifier": "3187",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dgribbi0@email.cpcc.edu",
            "affiliation": "N",
            "endpointDescription": "emai",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Emails",
            "address_1": "901 W Meeting St Ste 200",
            "city": "Lancaster",
            "state": "SC",
            "country_code": "US",
            "postal_code": "297206200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lancaster, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.