Individual provider Active NPI

Melanie S Griffin-Davis, PT

  • Physical Therapist
  • Crown Point, IN
National Provider Identifier
1669528584
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05008560A Issued in IN
Practice address
6504 E 129TH Ave
Crown Point, IN 46307-9087
Phone
(219) 662-7654
Fax
(219) 662-2136
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 05008560A IN Primary

Addresses

Primary practice location

6504 E 129TH Ave
Crown Point, IN 46307-9087

Mailing address

11821 Lee St
Crown Point, IN 46307-8798
Phone (219) 629-2064

Other identifiers 1

IdentifierTypeStateIssuer
000000356933OtherINANTHEM

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
05008560AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Therapy Plus, Inc. 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.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669528584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11821 LEE ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463078798",
            "telephone_number": "219-629-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6504 E 129TH AVE",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463079087",
            "telephone_number": "219-662-7654",
            "fax_number": "219-662-2136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN-DAVIS",
        "first_name": "MELANIE",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05008560A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000356933",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.