Active NPI
Sara M Graham, DPT
- Physical Therapist
- Charlottesville, VA
National Provider Identifier
1104553627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305215094
- Practice address
- 595 Martha Jefferson Dr Ste 120
Charlottesville, VA 22911-4669 - Phone
- (434) 529-8361
- NPI assigned
- Aug 4, 2022
- 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 Therapist | 225100000X | 2305215094 | VA | Primary |
Addresses
Primary practice location
595 Martha Jefferson Dr Ste 120
Charlottesville, VA 22911-4669
Mailing address
504 Albemarle SQ
Charlottesville, VA 22901-7405
Phone (434) 817-7848
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659571200000",
"number": "1104553627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 ALBEMARLE SQ",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229017405",
"telephone_number": "434-817-7848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "595 MARTHA JEFFERSON DR STE 120",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229114669",
"telephone_number": "434-529-8361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "SARA",
"middle_name": "M",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-04",
"last_updated": "2022-08-04",
"certification_date": "2022-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305215094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.