Kerilyn Graham, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8931 Issued in AZ

Practice address

9139 W Thunderbird Rd Ste 225
Peoria, AZ 85381-4913

Phone

(602) 317-3800

NPI assigned

Jul 8, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Northcutt Physical Therapy PLLC

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1386864262
  NPD (past)
• Peggy Langley

  • Hand Physical Therapist
  • Phoenix, AZ
  • NPI 1831488899
  NPD (past)
• Vibrantcare Outpatient Rehabilitation West Inc

  • Physical Therapy Clinic/Center
  • Phoenix, AZ
  • NPI 1114921871
  NPD (past)
• Vibrantcare Outpatient Rehabilitation West Inc

  • Physical Therapy Clinic/Center
  • Tucson, AZ
  • NPI 1699779223
  NPD (past)

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1053623900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 N SUNRISE AVE STE 902",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612929",
            "telephone_number": "602-317-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9139 W THUNDERBIRD RD STE 225",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814913",
            "telephone_number": "602-317-3800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1930 W Grant Line Rd",
            "address_purpose": "LOCATION",
            "city": "Tracy",
            "state": "CA",
            "postal_code": "953768812",
            "country_code": "US",
            "telephone_number": "602-317-3800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "KERILYN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-08",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "300941",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "8931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Alicia Gould
• Martha Ann Gowans
• Grace & Gratitude Counseling, PLLC
• Grace of Serenity Living, Inc
• Laura Grace, REGISTERED NURSE
• Leslie J Graham, LCSW
• Tonia Lanette Graham, FNP
• Carter Alan Grampp Sr., D.D.S.
• Briana J Granado, RD
• Lacy Lynn Granger

• Physical Therapist in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.