Individual provider Active NPI

Kevin Griffith

  • Physical Therapist
  • Dover, DE
National Provider Identifier
1720684426
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1288 S Governors Ave
Dover, DE 19904-4802
Phone
(302) 677-0100
NPI assigned
Dec 8, 2020
Last updated
Jan 4, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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 NU Primary

Addresses

Primary practice location

1288 S Governors Ave
Dover, DE 19904-4802

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201230001519 DE Practitioner - Physical Therapist in Private Practice 3072926500 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
True Sports Physical Therapy, LLCGroup PAC ID 5496975849, 60 clinicians

Practice addresses (Care Compare)

205 Gabor Dr
Newark, DE 19711-6630
Phone (410) 989-3833

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elite PT LLC Physical Therapist Current Accepting new patients
True Sports Physical Therapy, LLC Physical Therapist CurrentSince Dec 18, 2024 Accepting new patients
Progress Physical Therapy LLC Physical Therapist CurrentSince Dec 2, 2024 Accepting new patients
Elite PT LLC Physical Therapist CurrentSince Sep 7, 2021 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Dec 2, 2020 Accepting new patients
Physical Therapy and Wellness Institute LLC Physical Therapist CurrentSince Dec 2, 2024 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Dec 2, 2020 Accepting new patients
Ivyrehab Delaware LLC Physical Therapist CurrentSince Dec 2, 2024 Accepting new patients
Elite PT LLC CurrentSince Sep 7, 2021 Accepting new patients

Locations

1288 S Governors Ave
Dover, DE 19904
Phone (302) 677-0100

205 Gabor Dr
Newark, DE 19711
Phone (302) 273-1290

907 S Chapel St
Unit 180
Newark, DE 19713
Phone (302) 408-7310

1 Grenoble Pl
Rehoboth Beach, DE 19971
Phone (302) 226-2691

1 Righter Pkwy
Ste 150
Wilmington, DE 19803
Phone (302) 317-2747

3604 Lancaster Pike
Wilmington, DE 19805
Phone (302) 691-9993

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

331 Wilmington W Chester Pike
Glen Mills, PA 19342
Phone (610) 459-1344

730 S Broad St
Lansdale, PA 19446
Phone (215) 855-9871

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1720684426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1288 S GOVERNORS AVE",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199044802",
            "telephone_number": "302-677-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFITH",
        "first_name": "KEVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-08",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.