Laura Lyn Watson Griffith-Smith

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1150896 Issued in TX

Practice address

6318 FM 1488 Rd
150
Magnolia, TX 77354-2763

Phone

(936) 273-0808

Fax

(936) 273-0860

NPI assigned

Jun 12, 2006

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 identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Select Physical Therapy Texas Limited Partnership

  • Physical Therapy Clinic/Center
  • Houston, TX
  • NPI 1356304323
  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483660800000",
    "number": "1912949058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6318 FM 1488 RD",
            "address_2": "150",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773542763",
            "telephone_number": "936-273-0808",
            "fax_number": "936-273-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6318 FM 1488 RD",
            "address_2": "150",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773542763",
            "telephone_number": "936-273-0808",
            "fax_number": "936-273-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFITH-SMITH",
        "first_name": "LAURA",
        "middle_name": "LYN WATSON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2017-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1150896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7470479",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8839716",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8T1295",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Great Western Transportation, LLC
• Jayla Green
• Russell Thomas Green, PT, DPT
• Bryonne Griffin
• Kati Ranee Griffin, RBT
• Deneise Nicole Grooms, RPH
• Grounded Moments Therapeutic Services, LLC
• Grove Lane LLC
• Staphany Guerrero
• Gulf Coast Pediatric Dental Specialists PLLC

• Physical Therapist in Magnolia, TX
• Providers in Magnolia, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; 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.