Heather Helen Graham, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT019413 Issued in PA

Practice address

Route 209 Box 1020
West End Physical Therapy Inc
Kresgeville, PA 18333-1020

Phone

(610) 681-3637

Fax

(610) 681-6344

NPI assigned

Jul 23, 2008

Last updated

Nov 9, 2009By 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 PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Achieva Rehabilitation LLC

  • Physical Therapist
  • Frackville, PA
  • NPI 1689981573
  Medicare reassignment NPD
• West End Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Kresegeville, PA
  • NPI 1346303302

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257724800000",
    "number": "1255596730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1020",
            "address_2": "RT 209",
            "city": "KRESGEVILLE",
            "state": "PA",
            "postal_code": "183331020",
            "telephone_number": "610-681-3637",
            "fax_number": "610-681-6344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROUTE 209 BOX 1020",
            "address_2": "WEST END PHYSICAL THERAPY INC",
            "city": "KRESGEVILLE",
            "state": "PA",
            "postal_code": "183331020",
            "telephone_number": "610-681-3637",
            "fax_number": "610-681-6344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "HEATHER",
        "middle_name": "HELEN",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-23",
        "last_updated": "2009-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT019413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Bemis
• Sharon A George, PT
• Steven R Lazicki, PT
• Dalina C Lehman
• Tammy Lynn Lobach, CRNP
• Christopher Ryan Mathisen
• Johanna Lu Matsko

• Physical Therapist in Kresgeville, PA
• Providers in Kresgeville, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; 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.

Verify at the official NPI Registry.