MR. KEVIN DALE GRIGGS (PT) – Physical Therapist, NPI 1720238983

MR. KEVIN DALE GRIGGS (PT) is a healthcare provider. based in West frankfort, Illinois. specializing in Physical Therapist. They hold the professional credentials PT. They hold a License No. 070016700 (IL). The NPI Number for MR. KEVIN DALE GRIGGS (PT) is 1720238983

Main info

Male
Name
MR. KEVIN DALE GRIGGS (PT)
NPI
1720238983
Phone
(618) 937-6200
Address
502 W SAINT LOUIS ST
Enumeration Date
24 September 2008
Last Update Date
24 September 2008
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

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Provider Addresses for MR. KEVIN DALE GRIGGS (PT)

  • 502, West Saint Louis Street, West Frankfort, Franklin County, Illinois, 62896, United States

    SUITE 5

    WEST FRANKFORT, IL 628961968

    Phone: (618) 937-6200

    Fax: (618) 937-6204

    Mailing address matches the actual address.

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: 2010-04-29

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100429000692IPhysical Therapist In Private PracticeILTBD

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.

Verify on CMS Revalidation Lookup Tool

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 62896)

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Reviews

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Frequently asked questions

How is MR. KEVIN DALE GRIGGS (PT) identified in CMS data?
CMS-hosted NPPES data lists MR. KEVIN DALE GRIGGS (PT) with NPI 1720238983.
Is MR. KEVIN DALE GRIGGS (PT) listed as active for patients and plans?
The listing shows MR. KEVIN DALE GRIGGS (PT) as active in the NPI system.
What taxonomy line describes MR. KEVIN DALE GRIGGS (PT)?
For research purposes, treat MR. KEVIN DALE GRIGGS (PT) as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
Does MR. KEVIN DALE GRIGGS (PT) list a practice location?
Patients near West Frankfort, Illinois may find MR. KEVIN DALE GRIGGS (PT) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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