MEDICARE: GRIFFIN MICHAEL URRARO DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	P24492	NC

General Provider Information

NPI Number	:	1114897410
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GRIFFIN MICHAEL URRARO DPT

Provider Business Mailing Address
First Line	:	7437 MONBRISON CIR
Second Line	:
City	:	CORNELIUS
State	:	NC
Zip	:	28031-8055
Country	:	US
Telephone Number	:	239-357-2977
Fax Number	:

Provider Business Practice Location Address
First Line	:	19722 ONE NORMAN BLVD STE 220
Second Line	:
City	:	CORNELIUS
State	:	NC
Zip	:	28031-5911
Country	:	US
Telephone Number	:	980-306-5300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/11/2025
Last Update Date	:	01/12/2026

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