Jeremy Blake Graham, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1451 Dr Edward Hillard Dr Ste 130
Tuscaloosa, AL 35401-7449

Phone

(205) 561-5899

NPI assigned

Nov 15, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ati Holdings of Alabama LLCGroup PAC ID 2769756436, 66 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ati Holdings of Alabama, LLC

  dba ATI Physical Therapy

  • Physical Therapist
  • Lincoln, AL
  • NPI 1063952646
  Medicare reassignment Care Compare group NPD
• DCH Encore Rehabilitation, LLC

  • Physical Therapist
  • Northport, AL
  • NPI 1669942728
  Medicare reassignment NPD

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

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1174398606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211",
            "telephone_number": "866-370-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 DR EDWARD HILLARD DR STE 130",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354017449",
            "telephone_number": "205-561-5899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6561 Highway 69 S Ste A",
            "address_purpose": "LOCATION",
            "city": "Tuscaloosa",
            "state": "AL",
            "postal_code": "354056488",
            "country_code": "US",
            "telephone_number": "205-722-1032",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1050 Ruby Tyler Pkwy",
            "address_purpose": "LOCATION",
            "city": "Tuscaloosa",
            "state": "AL",
            "postal_code": "354042958",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "JEREMY",
        "middle_name": "BLAKE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-15",
        "last_updated": "2025-04-04",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Goyeneche Gomez
• Jayne Kathryn Graben, CRNP
• Dantria Grace
• Ramie Amanda Grace, CRNP
• Sara Grady, BCBA
• Melanie Dyess Graham, M.D.
• Andrew Edward Graves, D.M.D.
• Michael Calvin Graves, M.S. AUDIOLOGY
• Lakesa Gray, LMT
• Morgan Gray

• Physical Therapist in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.