Active NPI
Kaila Graham, OTD
- Occupational Therapist
- Pleasant Hill, CA
National Provider Identifier
1205658192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 26933
- Practice address
- 2770 Pleasant Hill Rd
Pleasant Hill, CA 94523-2044 - Phone
- (925) 900-3393
- NPI assigned
- Oct 30, 2024
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 26933 | CA | Primary |
Addresses
Primary practice location
2770 Pleasant Hill Rd
Pleasant Hill, CA 94523-2044
Mailing address
PO Box 5487
Hercules, CA 94547-5487
Phone (510) 484-3394
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26933 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness Cafe Physical Therapy, Inc | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Pleasant Hill, CA
- NPI 1013634799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730246400000",
"number": "1205658192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5487",
"city": "HERCULES",
"state": "CA",
"postal_code": "945475487",
"telephone_number": "510-484-3394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2770 PLEASANT HILL RD",
"city": "PLEASANT HILL",
"state": "CA",
"postal_code": "945232044",
"telephone_number": "925-900-3393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "KAILA",
"credential": "OTD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-30",
"last_updated": "2024-10-30",
"certification_date": "2024-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "26933",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pleasant Hill, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.