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

Nicole Griffiths

Individual provider Physical Therapist · NPI 1699551614

Nicole Griffiths is a Physical Therapist in Private Practice in Holladay, Utah. Qualified in 2020, 6 years ago. Practices with Mountain Land Rehabilitation LLC, a 203-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
6
Licensed in
UT
In the registry since
2023
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Practice location Address checks out

4624 S Holladay Blvd Ste 2
Holladay, UT 84117-7169
Phone: (801) 277-1028
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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 13479523-2401 (UT)

Record details

NPI number1699551614
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 5, 2023
Last updated in NPPESSeptember 5, 2023
Certification dateSeptember 5, 2023
Mailing address4624 S Holladay Blvd Ste 2, Holladay, UT 84117-7169

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Mountain Land Rehabilitation Llc — 203 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Holladay