Individual provider Active NPI

Michael Griffith, PT

  • Physical Therapist
  • Jacksonville, FL
National Provider Identifier
1649814542
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT35286 Issued in FL
Practice address
7855 Argyle Forest Blvd Ste 504
Jacksonville, FL 32244-7703
Phone
(904) 573-2100
NPI assigned
Nov 4, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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 PT35286 FL Primary

Addresses

Primary practice location

7855 Argyle Forest Blvd Ste 504
Jacksonville, FL 32244-7703

Mailing address

PO Box 8847
Fleming Island, FL 32006-0019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191115002276 FL Practitioner - Physical Therapist in Private Practice 6901238781 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bold City Therapy and Wellness LLCGroup PAC ID 3274887641, 3 clinicians

Practice addresses (Care Compare)

11579 San Jose Blvd
Jacksonville, FL 32223-7257
Phone (904) 551-0946

1605 King St
Jacksonville, FL 32204-4563
Phone (904) 551-0946

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
John Goetze Physical Therapy, Inc Physical Therapist CurrentSince Nov 1, 2019 Accepting new patients
Bold City Therapy and Wellness LLC Physical Therapist CurrentSince Nov 6, 2019 Accepting new patients
Academic Dermatology Consultants PA Past Accepting new patients

Locations

2054 Park St
Jacksonville, FL 32204
Phone (904) 387-4991

1605 King St
Jacksonville, FL 32204
Phone (904) 551-0946

7855 Argyle Forest Blvd
Ste 504
Jacksonville, FL 32244
Phone (904) 387-0006

Organizations & group practices 3

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": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1649814542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8847",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320060019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7855 ARGYLE FOREST BLVD STE 504",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322447703",
            "telephone_number": "904-573-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFITH",
        "first_name": "MICHAEL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-04",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT35286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; 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.