Terri Graham, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

13142-024 Issued in WI

Practice address

201 Liberty Dr
Wittenberg, WI 54499-8239

Phone

(800) 782-8581

Fax

(715) 253-2498

NPI assigned

Jun 3, 2015

Last updated

Oct 20, 2015By the provider in NPPES

Sex

Female

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 WI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stockbridge Munsee CommunityGroup PAC ID 9830094655, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stockbridge Munsee Community

  dba Stockbridge Munsee Health & Wellness Ctr

  • Federally Qualified Health Center (FQHC)
  • Bowler, WI
  • NPI 1629070180
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445299200000",
    "number": "1194105387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 LIBERTY DR",
            "city": "WITTENBERG",
            "state": "WI",
            "postal_code": "544998239",
            "telephone_number": "800-782-8581",
            "fax_number": "715-253-2498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 LIBERTY DR",
            "city": "WITTENBERG",
            "state": "WI",
            "postal_code": "544998239",
            "telephone_number": "800-782-8581",
            "fax_number": "715-253-2498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "TERRI",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-03",
        "last_updated": "2015-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "13142-024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily M Calonder, NP-C
• Mallory Charging, D.D.S.
• Kristin Craker, PTA
• Paul Bryan Dahms, RN
• Emily Jeanne Desilet, MA
• Erin Grosskopf, PTA
• Gwidt Pharmacy Inc
• Gwidt Pharmacy Inc
• Gwidt Pharmacy Inc (Gwidt Pharmacy)
• Maria Hachfeld, SLP

• Physical Therapist in Wittenberg, WI
• Providers in Wittenberg, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; 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.