Chester Graham, P.T.

Key facts

NPI

1255714788

Entity type

Individual (NPI type 1)

Primary specialty

Physical Therapist 225100000X

License

PT3043 (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

Sex

Male

Sole proprietor

No

Organizations & group practices 2

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.

• Adventhealth Home Health and Hospice Inc Home Health Agency · Leesburg, FL · NPI 1023045853
  NPD (past)
• Florida Hospital Waterman Inc General Acute Care Hospital · Tavares, FL · NPI 1821019571
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 1, 2015.

{
    "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": []
}

Other providers in Tavares, FL

• 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.

All providers in Tavares, FL · Physical Therapist in Florida