Healthcare Provider Details

I. General information

NPI: 1174432025
Provider Name (Legal Business Name): RISING MOUNTAIN MOBILE PHYSICAL THERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8232 GARDEN CREEK RD
OAKWOOD VA
24631-8887
US

IV. Provider business mailing address

8232 GARDEN CREEK RD
OAKWOOD VA
24631-8887
US

V. Phone/Fax

Practice location:
  • Phone: 606-571-7161
  • Fax: 276-644-5331
Mailing address:
  • Phone: 606-571-7161
  • Fax: 276-644-5331

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: GRAYSON DEAN GRIFFITH
Title or Position: PHYSICAL THERAPIST
Credential: PT, DPT
Phone: 606-571-7161