Graham Easom, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1399247 Issued in TX

Practice address

801 E Debbie LN Ste 105
Mansfield, TX 76063-3185

Phone

(817) 483-1746

NPI assigned

Aug 20, 2024

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blacketer Enterprises, IncGroup PAC ID 4981884905, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Blacketer Enterprises, Inc

  • Physical Therapy Clinic/Center
  • Arlington, TX
  • NPI 1295046050

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Agape Physical Therapy Services, PC

  • Physical Therapist
  • Brockport, NY
  • NPI 1841200649
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1013740794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6033 W I 20",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760171042",
            "telephone_number": "817-483-1746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E DEBBIE LN STE 105",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633185",
            "telephone_number": "817-483-1746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASOM",
        "first_name": "GRAHAM",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1399247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Dyer, MS, CCC-SLP
• E3Health Solutions, LLC
• Flenisia Ealy
• Earle Counseling & Professional Services
• Guy Edward Earle, LPC, CART
• Eastern Hospice and Palliative Care LLC
• April Dawn Eastman, LMFT
• Lacey Eaton, LPC
• Ebd Bemc Burleson, LLC
• Ec Mansfield, LLC

• Physical Therapist in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.