Active NPI
Lori Graham
- Physical Therapy Assistant
- St Thomas, VI
National Provider Identifier
1093351645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- Practice address
- 6115 Estate Smith Bay
St Thomas, VI 00802-1324 - Phone
- (340) 714-2348
- NPI assigned
- Nov 19, 2019
- 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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Primary |
Addresses
Primary practice location
6115 Estate Smith Bay
St Thomas, VI 00802-1324
Mailing address
15531 Upper Carolina
St John, VI 00830-9518
Phone (317) 691-4608
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": "1574121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574121600000",
"number": "1093351645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15531 UPPER CAROLINA",
"city": "ST JOHN",
"state": "VI",
"postal_code": "008309518",
"telephone_number": "317-691-4608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6115 ESTATE SMITH BAY",
"city": "ST THOMAS",
"state": "VI",
"postal_code": "008021324",
"telephone_number": "340-714-2348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "LORI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-19",
"last_updated": "2019-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Thomas, VI
- Herbert I. Goldman, M.D.
- Genae D Gonsalves
- Government of US Virgin Islands Department of Finance
- Government of US Virgin Islands Department of Finance
- Tina Graf, CRNP-FAMILY
- Whitney Gray, DDS
- Green VI LLC (Vitality Physical Therapy and Wellness)
- Anwar L Gregory, PHARM. D
- Horace Oliver Griffith, M.D.
- Sonia A. Griffith, D.D.S
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.