Daniel Griffin IV, PT, DPT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

24530 Issued in MA

Practice address

470 Shoemaker LN
Agawam, MA 01001-3620

Phone

(781) 910-9974

NPI assigned

Aug 28, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MA, CT2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Resilience Physical Therapy and Wellness, LLC

  • Physical Therapist
  • Agawam, MA
  • NPI 1679123582

  CT, Physical Medicine & Rehabilitation

  Medicare reassignment NPD Authorized official
• Connecticut CVS Pharmacy LLC

  dba CVS Pharmacy 17918

  • Pharmacy
  • Guilford, CT
  • NPI 1417746108
  NPD (past)

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1902454598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 SHOEMAKER LN",
            "city": "AGAWAM",
            "state": "MA",
            "postal_code": "010013620",
            "telephone_number": "781-910-9974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 SHOEMAKER LN",
            "city": "AGAWAM",
            "state": "MA",
            "postal_code": "010013620",
            "telephone_number": "781-910-9974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-28",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MA",
            "license": "24530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dan@resilienceptwellness.com",
            "affiliation": "N",
            "endpointDescription": "Secure Office Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Agawam",
            "address_1": "470 Shoemaker Ln",
            "city": "Agawam",
            "state": "MA",
            "country_code": "US",
            "postal_code": "010013620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Thomas Gobeille, RPH
• Kathleen Goddard, PT
• Sybel Gonzalez
• Debra Ann Goodreau, PTA
• Gary M. Gorman, D.C.
• Megan Grimard, OTR/L
• Monique Susanne Groux
• Josephine Hapgood, PTA
• Nadine Harkless
• Christina Hayfron-Benjamin, MD

• Physical Medicine & Rehabilitation Physician in Agawam, MA
• Providers in Agawam, MA by specialty
• Physical Medicine & Rehabilitation Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.