James Mikel Griffith II, PTA

Individual provider Active NPI Physical Therapy Assistant · Monticello, MS

NPI 1861664575 · NPPES record last updated Feb 8, 2017

Key facts

NPI
1861664575
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
PTA1426 (MS)
Practice address
314 Main St, Ste C
Monticello, MS 39654
Phone
(601) 587-2563
NPI assigned
Apr 2, 2008
Sex
Male
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PTA1426MSMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tri Therapy PLLC Current Accepting new patients
Tri Therapy PLLC Physical Therapy Assistant Current
since Jul 2, 2023
Accepting new patients

Locations

314 Main St
#C
Monticello, MS 39654
Phone (601) 587-2563

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA1426 MS Yes

Addresses

Primary practice location

314 Main St, Ste C
Monticello, MS 39654

Mailing address

PO Box 457
Monticello, MS 39654-0457
Phone (601) 587-2563

Other providers in Monticello, MS

All providers in Monticello, MS · Physical Therapy Assistant in Mississippi

Sources for this page

Verify at the official NPI Registry.