Chester Graham, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT3043 Issued in FL

Practice address

3260 Waterman Way
Home Care Services
Tavares, FL 32778-5243

Phone

(352) 253-3900

Fax

(352) 253-3895

NPI assigned

Jul 1, 2015

Last updated

Jul 1, 2015By the provider in NPPES

Sex

Male

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)

Not 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.

• Adventhealth Home Health and Hospice Inc

  dba Adventhealth Home Health

  • Home Health Agency
  • Leesburg, FL
  • NPI 1023045853
  NPD (past)
• Florida Hospital Waterman Inc

  dba AdventHealth Waterman

  • General Acute Care Hospital
  • Tavares, FL
  • NPI 1821019571
  NPD (past)

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435708800000",
    "number": "1255714788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41315 EMERALDA ISLAND RD",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347888337",
            "telephone_number": "352-669-5632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3260 WATERMAN WAY",
            "address_2": "HOME CARE SERVICES",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327785243",
            "telephone_number": "352-253-3900",
            "fax_number": "352-253-3895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "CHESTER",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-01",
        "last_updated": "2015-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT3043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Alan Goodman, MD
• Samuel J Goss, DO
• Michele Lyn Gotfraind, PHARM.D.
• Grace Assured Home Care Services, Inc.
• Grace Carriers
• Shelley Ann Graham, APRN
• Henry Green, DMD
• Keva T Green, MD
• Nora Jo M Greenia, ARNP
• Anthony Gulde, D.D.S.

• Physical Therapist in Tavares, FL
• Providers in Tavares, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; 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.