Active NPI
Christopher Griffin, PTA
- Physical Therapy Assistant
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA30317
- Practice address
- 6144 Gazebo Park PL S Ste 101
Jacksonville, FL 32257-1086 - Phone
- (904) 260-3011
- Fax
- (904) 260-4849
- NPI assigned
- Nov 6, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA30317 | FL | Primary |
Addresses
Primary practice location
6144 Gazebo Park PL S Ste 101
Jacksonville, FL 32257-1086
Mailing address
6144 Gazebo Park PL S Ste 101
Jacksonville, FL 32257-1086
Phone (904) 260-3011
Other practice location 1
1409 Kingsley Ave Bldg 3
Orange Park, FL 32073-4537
Phone (904) 260-3011
Other practice location 2
2425 Dunn Ave Ste 1
Jacksonville, FL 32218-4603
Phone (904) 260-3011
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
| License | State | Type | Specialty |
|---|---|---|---|
| PTA30317 | FL | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Occupational and Rehabilitation Center PA | Current | Accepting new patients | |
| Integra Therapeutic Massage, LLC | Past | Accepting new patients |
Locations
6144 Gazebo Park Pl S
Ste 101
Jacksonville, FL 32257
Phone (904) 260-3011
2425 Dunn Ave
#1
Jacksonville, FL 32218
Phone (904) 260-3011
1409 Kingsley Ave
Bldg 3
Orange Park, FL 32073
Phone (904) 260-3011
Organizations & group practices 2
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.
-
- Physical Medicine & Rehabilitation Physician
- Jacksonville, FL
- NPI 1164507422
-
- Physical Therapy Clinic/Center
- Orange Park, FL
- NPI 1376159178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699228800000",
"number": "1770356222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6144 GAZEBO PARK PL S STE 101",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322571086",
"telephone_number": "904-260-3011",
"fax_number": "904-260-4849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6144 GAZEBO PARK PL S STE 101",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322571086",
"telephone_number": "904-260-3011",
"fax_number": "904-260-4849"
}
],
"practiceLocations": [
{
"address_1": "1409 Kingsley Ave Bldg 3",
"address_purpose": "LOCATION",
"city": "Orange Park",
"state": "FL",
"postal_code": "320734537",
"country_code": "US",
"telephone_number": "904-260-3011",
"fax_number": "904-260-4849",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2425 Dunn Ave Ste 1",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322184603",
"country_code": "US",
"telephone_number": "904-260-3011",
"fax_number": "904-260-4849",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRIFFIN",
"first_name": "CHRISTOPHER",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-11-06",
"last_updated": "2023-11-06",
"certification_date": "2023-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA30317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.