Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jared Neal Griffin, PT

Individual provider Physical Therapist · NPI 1417670019

Jared Neal Griffin, PT is a Physical Therapist in Private Practice in Fayetteville, Arkansas. Qualified in 2022, 4 years ago. Licensed in Arkansas and Tennessee.

Years since qualifying
4
Licensed in
AR, TN
In the registry since
2022
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

2668 E Citizens Dr Ste 5
Fayetteville, AR 72703-4796
Phone: (479) 442-7473
Fax: (479) 239-5444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT5674 (AR)
Physical Therapist Taxonomy 225100000X · Licence 14509 (TN)

Record details

NPI number1417670019
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedSeptember 20, 2022
Last updated in NPPESJune 10, 2026
Certification dateJune 10, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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