Individual provider Active NPI

Jessica Graf, P.T.

  • Physical Therapist
  • Troy, MO
National Provider Identifier
1225044803
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2004022997 Issued in MO
Practice address
55 Troy SQ
Troy, MO 63379-3101
Phone
(636) 528-7333
Fax
(636) 528-7335
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2004022997 MO Primary

Addresses

Primary practice location

55 Troy SQ
Troy, MO 63379-3101

Mailing address

55 Troy SQ
Troy, MO 63379-3101
Phone (636) 528-7333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050404000107 MO Practitioner - Physical Therapist in Private Practice 9032166921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Missouri, Columbia School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

55 Troy SQ
Troy, MO 63379-3108
Phone (636) 528-7333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Hannibal Regional Hospital LLC Physical Therapist CurrentSince Apr 1, 2017 Accepting new patients
Advance Hannibal Regional Hospital, LLC Physical Therapist CurrentSince Apr 1, 2017 Accepting new patients
Prorehab PC Physical Therapist Past Accepting new patients
Advance Physical Therapy & Sports Medicine of Adams County LLC Past Accepting new patients
Advance Physical Therapy & Sports Medicine LLC Physical Therapist Past Accepting new patients

Locations

188 Medical Dr
#A
Hannibal, MO 63401
Phone (573) 406-0576

160 Progress Rd
#111
Hannibal, MO 63401

55 Troy Sq
Troy, MO 63379
Phone (636) 528-7333

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206576000000",
    "number": "1225044803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 TROY SQ",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633793101",
            "telephone_number": "636-528-7333",
            "fax_number": "636-528-7335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 TROY SQ",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633793101",
            "telephone_number": "636-528-7333",
            "fax_number": "636-528-7335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAF",
        "first_name": "JESSICA",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2008-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2004022997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.