Kathleen Elliott Grant, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT13907 Issued in CA

Practice address

1200 Springfield Dr
Rehab Dept.
Chico, CA 95928-6340

Phone

(530) 342-4885

Fax

(530) 342-2847

NPI assigned

Sep 9, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Kathleen Virginai Elliott Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252454400000",
    "number": "1043543077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 SPRINGFIELD DR",
            "address_2": "REHAB DEPT.",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959286340",
            "telephone_number": "530-342-4885",
            "fax_number": "530-342-2847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 SPRINGFIELD DR",
            "address_2": "REHAB DEPT.",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959286340",
            "telephone_number": "530-342-4885",
            "fax_number": "530-342-2847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "KATHLEEN",
        "middle_name": "ELLIOTT",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-09",
        "last_updated": "2009-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT13907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "ELLIOTT",
            "middle_name": "VIRGINAI",
            "prefix": "MS.",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Heather M Graham
• Sarah Elizabeth Graham, CNM
• Stacey Deanne Graham, FNP-C
• Kirk Fredrick Granlund, MD
• Ruth Marie Granlund, MD
• Stephen James Grant, PA-C
• Michael Dean Grattidge
• Alijah Marie Gray
• Carol Lynn Gray, NURSE PRACTITIONER
• Garrett James Gray, AMFT

• Physical Therapist in Chico, CA
• Providers in Chico, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.