Carol Susan Griffith I, P.T.A.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A-0922 Issued in NM

Practice address

4210 Sabana Grande Ave SE
Rio Rancho, NM 87124-1152

Phone

(505) 816-7534

NPI assigned

Apr 1, 2016

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459468800000",
    "number": "1669835187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 HUNTINGTON DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113040",
            "telephone_number": "505-275-9174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 SABANA GRANDE AVE SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241152",
            "telephone_number": "505-816-7534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFITH",
        "first_name": "CAROL",
        "middle_name": "SUSAN",
        "name_prefix": "Ms.",
        "name_suffix": "I",
        "credential": "P.T.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-01",
        "last_updated": "2016-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NM",
            "license": "A-0922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simone Green, M.D.
• Melissa N. Greene, BSW
• Greg Jorgensen, DMD, Ms PC
• Michelle Richins Grega, RDH
• Shannon Nicole Gregg, RD, LD
• Jill H Griggs, MA, LPCC, NCC
• Ruth Grodinsky, LMSW
• Daniel Michael Grossman
• Guadalupe Psychiatric and Mental Health Services
• Guardian Angel Home Care Group LLC

• Physical Therapy Assistant in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Physical Therapy Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; 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.