Susan Kay Graves, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

AT1259 Issued in CA

Practice address

2120 Benton Dr
Redding, CA 96003-2151

Phone

(530) 243-2220

Fax

(530) 242-8349

NPI assigned

Jul 15, 2008

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

Other names 1

• Ms. Susan K Evans Former name

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": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216080000000",
    "number": "1083878375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16991 TEXAS SPRINGS RD",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960014310",
            "telephone_number": "530-243-0446",
            "fax_number": "530-242-8349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 BENTON DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960032151",
            "telephone_number": "530-243-2220",
            "fax_number": "530-242-8349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "SUSAN",
        "middle_name": "KAY",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-15",
        "last_updated": "2008-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "AT1259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "EVANS",
            "middle_name": "K",
            "prefix": "MS.",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Monica Lee Gralian
• Matthew Grana, D.O.
• Peter Percy Grandaw, M.D.
• Grant Elementary School District
• Gwen Graun, RN
• Angelique Michelle Gray
• Bobbie J. Gray, L.C.S.W.
• Cori Gray
• Emily Andrea Gray
• Jamie Gray, LCSW

• Physical Therapy Assistant in Redding, CA
• Providers in Redding, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.

Verify at the official NPI Registry.