Active NPI
Eric Justin McGriff, PTA
- Physical Therapy Assistant
- Red Boiling Springs, TN
National Provider Identifier
1932307741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA-A01728
- Practice address
- 309 Main St
Red Boiling Springs, TN 37150-2149 - Phone
- (270) 303-9761
- NPI assigned
- Jul 3, 2007
- Last updated
- Aug 20, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA-A01728 | KY | Primary |
| Physical Therapy Assistant | 225200000X | 4363 | TN |
Addresses
Primary practice location
309 Main St
Red Boiling Springs, TN 37150-2149
Mailing address
1914 Mosswood Dr
Bowling Green, KY 42104-4550
Phone (270) 303-9761
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 |
|---|---|---|---|
| PTA-A01728 | KY | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219190400000",
"number": "1932307741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1914 MOSSWOOD DR",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421044550",
"telephone_number": "270-303-9761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 MAIN ST",
"city": "RED BOILING SPRINGS",
"state": "TN",
"postal_code": "371502149",
"telephone_number": "270-303-9761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGRIFF",
"first_name": "ERIC",
"middle_name": "JUSTIN",
"name_prefix": "Mr.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-03",
"last_updated": "2008-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "KY",
"license": "PTA-A01728",
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TN",
"license": "4363",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Red Boiling Springs, TN
- Benita Gail Hudson, MSOTR/L, PTA
- Lanny R Hudson, D PH
- Longevity Clinical LTC Associates of Tennessee, PLLC
- Macon Care Center LLC
- Martin Family Healthcare LLC.
- Amanda Lynn Mitchell, RN
- Palace RBS LLC (The Palace Health Care and Rehabilitation Center)
- Red Boiling Springs TN Opco LLC (The Palace Healthcare and Rehabilitation Center)
- Phillip Scott Ross, P.T.
- Devin Jordan Russell, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.