Active NPI
Joseph Michael Graham Jr., P.T.
- Physical Therapist
- Silver Spring, MD
National Provider Identifier
1043337520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 19632
- Practice address
- 3120 Gracefield Rd
Silver Spring, MD 20904-5810 - Phone
- (301) 572-8373
- NPI assigned
- Mar 22, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 19632 | MD | Primary |
Addresses
Primary practice location
3120 Gracefield Rd
Silver Spring, MD 20904-5810
Mailing address
8202 Elberta Dr
Ellicott City, MD 21043-6658
Phone (410) 461-0818
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19632 | MD | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043337520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8202 ELBERTA DR",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210436658",
"telephone_number": "410-461-0818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3120 GRACEFIELD RD",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209045810",
"telephone_number": "301-572-8373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "JOSEPH",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "19632",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.