SAMUEL LEE GRIFFITHS (DPT) – Physical Therapist, NPI 1710580188
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA
Provider Addresses for SAMUEL LEE GRIFFITHS (DPT)
2909 N 118TH ST STE 200
OMAHA, NE 681643643
Phone: (408) 252-4792
Fax: (402) 625-0417
Type: Mailing
501 E LOCUST ST
LONE PINE, CA 935458044
Phone: (760) 878-5501
Type: Location
3760 CONVOY ST STE 101
SAN DIEGO, CA 921113743
Phone: (888) 208-8526
Fax: (858) 751-0901
Type: Mailing
426 N IMPERIAL AVE
EL CENTRO, CA 922432329
Phone: (760) 592-8148
Fax: (760) 841-5556
Type: Location
426 N Imperial Ave
El Centro, CA 922432329
Phone: (760) 592-8148
Fax: (760) 841-5556
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-06-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250602000569 | I | Physical Therapist In Private Practice | WA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 68164)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | WA | |
| Physical Therapist In Private Practice | WA | |
| Physical Therapist In Private Practice | WA |
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