Active NPI
Cindy Graham, PT
- Physical Therapist
- Santa Monica, CA
National Provider Identifier
1114041472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 23946
- Practice address
- 1260 15TH St
Suite 900
Santa Monica, CA 90404-1135 - Phone
- (310) 319-4646
- NPI assigned
- Mar 19, 2007
- 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 | 23946 | CA | Primary |
Addresses
Primary practice location
1260 15TH St
Suite 900
Santa Monica, CA 90404-1135
Mailing address
1260 15TH St
Suite 900
Santa Monica, CA 90404-1135
Phone (310) 319-4646
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W15428 | Other | CA | MEDICARE GROUP ID NUMBER |
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": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442966400000",
"number": "1114041472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1260 15TH ST",
"address_2": "SUITE 900",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904041135",
"telephone_number": "310-319-4646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1260 15TH ST",
"address_2": "SUITE 900",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904041135",
"telephone_number": "310-319-4646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "CINDY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2015-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "23946",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP ID NUMBER",
"identifier": "W15428",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.