Vivian L Griffin, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.006685 Issued in IL

Practice address

3320 Executive Dr
Joliet, IL 60431-8433

Phone

(815) 730-1370

Fax

(815) 730-1517

NPI assigned

Sep 16, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Vivian L Anderson Former name

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": "1284595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284595200000",
    "number": "1740598309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 EXECUTIVE DR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604318433",
            "telephone_number": "815-730-1370",
            "fax_number": "815-730-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 EXECUTIVE DR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604318433",
            "telephone_number": "815-730-1370",
            "fax_number": "815-730-1517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "VIVIAN",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-16",
        "last_updated": "2010-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.006685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIVIAN",
            "last_name": "ANDERSON",
            "middle_name": "L",
            "prefix": "MISS",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rachael Marie Greenan
• Tricia G Greenwood, RDN, LDN
• Kristine Greiber
• Kathryn Jeanne Grella, LSW
• Catherine Therese Gremley
• Nancy A. Griparis, RD. LDN.
• Terri Larae Griswold-Dodgson
• John Scott Groch, MD
• Victoria Gronkowski, D.C
• Charles Gross

• Physical Therapist in Joliet, IL
• Providers in Joliet, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; 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.