Organization Active NPI

Graham Rehabilitation and Wellness Center Inc P S

  • Chiropractor
  • Seattle, WA
National Provider Identifier
1073706693
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
GRAHAM REHABILITATION AND WELLNESS CENTER INC P S
Practice address
509 Olive Way Ste 620
Seattle, WA 98101-1761
Phone
(206) 622-9001
Fax
(206) 622-4311
NPI assigned
Aug 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Brian Ray GrahamNPI 1548394042
Title
President
Phone
(206) 310-3534

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

509 Olive Way Ste 620
Seattle, WA 98101-1761

Mailing address

509 Olive Way Ste 620
Seattle, WA 98101-1761
Phone (206) 622-9001

Other names 1

  • Graham Chiropractic Center Inc Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address support@grahamrehab.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110505000039 WA Part B Supplier - Clinic/Group Practice 5496930547 Receives reassigned benefits from 1 practitioner
Practice locations: Seattle, WA

National Provider Directory

National Provider Directory

Locations

1215 4th Ave
Ste 1000
Seattle, WA 98161
Phone (206) 622-9001

816 1st Ave
Seattle, WA 98104
Phone (206) 622-9001

509 Olive Way
Ste 620
Seattle, WA 98101
Phone (206) 343-3325

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1073706693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY STE 620",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011761",
            "telephone_number": "206-622-9001",
            "fax_number": "206-622-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY STE 620",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011761",
            "telephone_number": "206-622-9001",
            "fax_number": "206-622-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAHAM REHABILITATION AND WELLNESS CENTER INC P S",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2023-09-06",
        "certification_date": "2023-06-19",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-310-3534"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "support@grahamrehab.com",
            "affiliation": "N",
            "address_1": "509 Olive Way Ste 620",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981011761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Graham Chiropractic Center Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.