Active NPI
Carrie Michelle Griep, DPT
- Pediatric Physical Therapist
- Chula Vista, CA
National Provider Identifier
1780067728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 42547
- Practice address
- 320 Broadway Ste 2
Chula Vista, CA 91910-3502 - Phone
- (619) 422-0404
- Fax
- (619) 422-4153
- NPI assigned
- Jul 8, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 42547 | CA | Primary |
Addresses
Primary practice location
320 Broadway Ste 2
Chula Vista, CA 91910-3502
Mailing address
320 Broadway Ste 2
Chula Vista, CA 91910-3502
Phone (619) 422-0404
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42547 | Other | CA | PHYSICAL THERAPY BOARD OF CALIFORNIA |
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 |
|---|---|---|---|
| 42547 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RL Speech Therapy, Apc | Past | Accepting new patients | |
| JC Chiropractic, P.C. | Past | Accepting new patients | |
| Elnel, Inc. a California Corporation Total Physical Therapy | Pediatrics | Past | Accepting new patients |
Organizations & group practices 3
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 Therapy Clinic/Center
- Chula Vista, CA
- NPI 1386681732
Pediatrics
-
- Chiropractor
- Chula Vista, CA
- NPI 1083110274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436313600000",
"number": "1780067728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 BROADWAY STE 2",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919103502",
"telephone_number": "619-422-0404",
"fax_number": "619-422-4153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 BROADWAY STE 2",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919103502",
"telephone_number": "619-422-0404",
"fax_number": "619-422-4153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIEP",
"first_name": "CARRIE",
"middle_name": "MICHELLE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-08",
"last_updated": "2015-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "CA",
"license": "42547",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY BOARD OF CALIFORNIA",
"identifier": "42547",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.