John Dale Griffin, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL.0019979 Issued in CO

Practice address

1024 Centre Ave Ste 100
Fort Collins, CO 80526-1887

Phone

(970) 224-4141

Fax

(970) 797-1227

NPI assigned

Jul 25, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Proactive Physical Therapy and Exercise Center, IncGroup PAC ID 8022190826, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Proactive Physical Therapy and Exercise Center, Inc

  • Physical Therapist
  • Fort Collins, CO
  • NPI 1588846513
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1649008095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 CENTRE AVE STE 100",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805261887",
            "telephone_number": "970-224-4141",
            "fax_number": "970-797-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 CENTRE AVE STE 100",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805261887",
            "telephone_number": "970-224-4141",
            "fax_number": "970-797-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "JOHN",
        "middle_name": "DALE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0019979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Grieb, OTR/L
• Ryan D Griesbach, MD
• Ashley Harper Griffin, LMT
• Beverly Jo Griffin, AU.D.
• Brandon R. Griffin, DDS
• Camille Griffith, RBT
• Constance Cappas Griffith, PH.D.
• Delaney Julia Marie Griffith, LPCC
• Heather Colleen Griffith, LCSW
• Mallory Griffith, CCC SLP

• Physical Therapist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.

Verify at the official NPI Registry.