Suzanne Earnest Graham, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA4047 Issued in TN

Practice address

103 Arcaro PL
Brentwood, TN 37027-5061

Phone

(812) 760-7028

NPI assigned

Apr 22, 2019

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

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": "1555891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555891200000",
    "number": "1043873383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 KEY CT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275437",
            "telephone_number": "615-712-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 ARCARO PL",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275061",
            "telephone_number": "812-760-7028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "SUZANNE",
        "middle_name": "EARNEST",
        "name_prefix": "Mrs.",
        "credential": "LPTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-22",
        "last_updated": "2019-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "PTA4047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Home Care, LLC
• Fallon Graham, MMFT
• Kenton Clay Graham, LPC
• Larry G Graham, M.D.
• Meg Carpenter Graham
• Abigail Corrine Grandstaff, MA, BCBA, LBA
• Kara Patricia Granger
• Sarah Grangien
• Ashley Monique Grant
• Grass Is Greener LLC

• Physical Therapy Assistant in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; 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.