Iverson Griffin III

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

008942 Issued in KY

Practice address

374 Kroger Way
Versailles, KY 40383-1915

Phone

(859) 286-6848

NPI assigned

Nov 10, 2023

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kentucky Orthopedic Rehabilitation LLC

  • Physical Therapy Clinic/Center
  • Lexington, KY
  • NPI 1932100971

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1699574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1699549550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "374 KROGER WAY",
            "city": "VERSAILLES",
            "state": "KY",
            "postal_code": "403831915",
            "telephone_number": "859-286-6848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 KROGER WAY",
            "city": "VERSAILLES",
            "state": "KY",
            "postal_code": "403831915",
            "telephone_number": "859-286-6848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "IVERSON",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-10",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "008942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott A. Gralheer, D.C.
• Keela Grant, BSN, RN, RNC-OB
• Melissa Ann Green, BSN, RN
• Jammie Gribble, PT
• Kristi Jo Grider, FNP-C
• Lee Griffith
• Jill A. Guenther, PT, OCS, CHT
• Jessica Guerin, WHNP-BC
• Sophie Grace Gumble
• Sylvia Gunn Gunn

• Physical Therapist in Versailles, KY
• Providers in Versailles, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; 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.