Active NPI
Ricki Donnell Graham, PT
- Geriatric Physical Therapist
- Lafayette, LA
National Provider Identifier
1043841810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- 1088854
- Practice address
- 901 Hugh Wallis Rd S
Lafayette, LA 70508-2511 - Phone
- (866) 542-4768
- NPI assigned
- Jan 30, 2020
- Last updated
- Sep 2, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 1088854 | TX | Primary |
Addresses
Primary practice location
901 Hugh Wallis Rd S
Lafayette, LA 70508-2511
Mailing address
640 E Eubank St
Mabank, TX 75147-7760
Phone (866) 542-4768
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 |
|---|---|---|---|
| 1088854 | TX | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788307200000",
"number": "1043841810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 E EUBANK ST",
"city": "MABANK",
"state": "TX",
"postal_code": "751477760",
"telephone_number": "866-542-4768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 HUGH WALLIS RD S",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705082511",
"telephone_number": "866-542-4768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "RICKI",
"middle_name": "DONNELL",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-30",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "TX",
"license": "1088854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.