Provider Demographics
NPI:1427478320
Name:GRIFFIN, MATTHEW PETER (DPT)
Entity type:Individual
Prefix:
First Name:MATTHEW
Middle Name:PETER
Last Name:GRIFFIN
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14876 ENCLAVE LAKES DR APT T5
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-8819
Mailing Address - Country:US
Mailing Address - Phone:508-615-6487
Mailing Address - Fax:
Practice Address - Street 1:600 PENNSYLVANIA AVE SE STE 202
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-4425
Practice Address - Country:US
Practice Address - Phone:202-543-9400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-18
Last Update Date:2014-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCG02816Medicare PIN
DC355435YT9Medicare PIN