Kathleen Elaine Grafke-Dallos, PT

Primary specialty

Neurology Physical TherapistTaxonomy code 2251N0400X

License

40QA00884100 Issued in NJ

Practice address

523 Fellowship Rd
Mount Laurel, NJ 08054-3414

Phone

(856) 424-5552

NPI assigned

Dec 9, 2021

Last updated

Dec 9, 2021By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1255090981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 STAR DR",
            "city": "EASTAMPTON",
            "state": "NJ",
            "postal_code": "080609656",
            "telephone_number": "732-259-6704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 FELLOWSHIP RD",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080543414",
            "telephone_number": "856-424-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAFKE-DALLOS",
        "first_name": "KATHLEEN",
        "middle_name": "ELAINE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-09",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "NJ",
            "license": "40QA00884100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Gormley, MS, RD, LDN
• Eli Samuel Goshorn, MD
• Moncia Lynn Goss, M.A., CCC-SLP
• Konstantinos Goulis
• Grace's Garden
• Colleen Graham
• Christina Maria Granato
• Irene Grandeza, M.A. BCBA
• Greatlife Wellness Center
• Emily Green

• Neurology Physical Therapist in Mount Laurel, NJ
• Providers in Mount Laurel, NJ by specialty
• Neurology Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.