Active NPI
Elysa Graber, MSPT
- Pediatric Physical Therapist
- Cedarhurst, NY
National Provider Identifier
1063658854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 026130
- Practice address
- 503 Hemlock Dr
Cedarhurst, NY 11516-1017 - Phone
- (516) 295-4410
- NPI assigned
- Dec 28, 2008
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 026130 | NY | Primary |
Addresses
Primary practice location
503 Hemlock Dr
Cedarhurst, NY 11516-1017
Mailing address
503 Hemlock Dr
Cedarhurst, NY 11516-1017
Phone (516) 295-4410
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1230422400000",
"number": "1063658854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 HEMLOCK DR",
"city": "CEDARHURST",
"state": "NY",
"postal_code": "115161017",
"telephone_number": "516-295-4410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 HEMLOCK DR",
"city": "CEDARHURST",
"state": "NY",
"postal_code": "115161017",
"telephone_number": "516-295-4410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRABER",
"first_name": "ELYSA",
"name_prefix": "Ms.",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-28",
"last_updated": "2008-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NY",
"license": "026130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedarhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.