DETRIC GRIFFIN (NPI# 1487007167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487007167 |
| Entity Type | Individual |
| Full Name | DETRIC GRIFFIN |
| Practice Address |
2191 Attala Road 1006 Kosciusko MS 39090-6146 |
| Practice Telephone | 6627391320 |
| Mailing Telephone | 6627391320 |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2016-07-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 5972 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2191 ATTALA ROAD 1006 |
| City | KOSCIUSKO |
| State | MS |
| Zip Code | 39090-6146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508371675 | Caroline Boydstun Fair | Pharmacist | 109 Northside Center, Kosciusko, MS 39090 | 2017-12-11 |
| 1275069643 | Sharhonda Wingo | Speech-Language Pathologist | 2447 Attala Road 2203, Kosciusko, MS 39090 | 2017-05-04 |
| 1013392034 | Leap of Faith LLC | Respite Care | 115 North Wells Street, Suite A, Kosciusko, MS 39090 | 2015-07-21 |
| 1730566027 | Bmc - Attala, LLC | General Acute Care Hospital | 220 Hwy. 12 West, Kosciusko, MS 39090 | 2015-05-06 |
| 1528402484 | Warner Martin Myers I | Student in an Organized Health Care Education/Training Program | 912 Hwy 12 East, Kosciusko, MS 39090 | 2013-04-23 |
| 1891022547 | Medical Foundation of Central Mississippi | Internal Medicine | 329 Highway 12 West, Koscuisko, MS 39090 | 2009-11-17 |
| 1255512448 | Cheryl L Bayne | Adult Companion | 509 Hillview Dr, Kosciusko, MS 39090 | 2007-11-16 |
| 1760673982 | Gary A Cochran | Technician/Technologist | 118 West North St, Kosciusko, MS 39090 | 2007-08-05 |
| 1639396393 | Stephen C Hammack | Family Medicine | 332 Highway 12 West, Kosciusko, MS 39090 | 2007-04-20 |
| 1740329689 | Brenda Nail | Nurse Practitioner | 999 Martin Luther King Drive, Kosciusko, MS 39090 | 2007-02-06 |
| Find all providers in zip 39090 | ||||
| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013547223 | Alma Wollfarth | Physical Therapy Assistant | 203 W Jefferson St, Kosciusko, MS 39090-3620 | 2020-01-16 |
| 1295135093 | Chelsey Mclendon | Physical Therapy Assistant | 309 Autumn Ridge Dr, Kosciusko, MS 39090-3246 | 2014-08-28 |
| 1689283376 | Rebecca Shields | Physical Therapy Assistant | 203 W Jefferson St, Kosciusko, MS 39090-3620 | 2020-07-28 |
| 1730689647 | Heather Crouch | Physical Therapy Assistant | 220 Highway 12 W, Kosciusko, MS 39090-3208 | 2018-02-16 |
| 1295250926 | Cheyenne Hope Hedden | Physical Therapy Assistant | 220 Highway 12 W, Kosciusko, MS 39090-3208 | 2017-08-03 |
| 1447603386 | Alanna Brooke Massey | Physical Therapy Assistant | 310 Autumn Ridge Dr, Kosciusko, MS 39090-3242 | 2016-07-15 |
| 1912362401 | Tameca Wright | Physical Therapy Assistant | 310 Autumn Ridge Dr, Kosciusko, MS 39090-3242 | 2015-12-28 |
| 1811373038 | Sarah Burns | Physical Therapy Assistant | 220 Highway 12 W, Kosciusko, MS 39090-3208 | 2015-08-11 |
| 1871847509 | Jeffrey Scott Pearson | Physical Therapy Assistant | 310 Autumn Ridge Dr, Kosciusko, MS 39090-3242 | 2012-11-02 |
| 1134413511 | Loren Pearson | Physical Therapy Assistant | 310 Autumn Ridge Dr, Kosciusko, MS 39090-3242 | 2011-06-03 |
| Find all providers in KOSCIUSKO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.