Lori Katherine Graham, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8599 Issued in SC

Practice address

1520 E Greenville St Ste G
Anderson, SC 29621-2056

Phone

(864) 261-3099

NPI assigned

Jul 5, 2017

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

Other identifiers 1

Other names 1

• Lori Katherine Vaughn Former name

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": "1499212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505779200000",
    "number": "1255852885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 E GREENVILLE ST STE G",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296212056",
            "telephone_number": "864-261-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "LORI",
        "middle_name": "KATHERINE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-05",
        "last_updated": "2017-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "8599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "VAUGHN",
            "middle_name": "KATHERINE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mary A Gould, FNP-BC
• Imari Gowens
• Korey Richard Graettinger, APN
• Chris Graham, DSW, LCSW
• Kori Diane Graham, COTA/L
• Tony R. Graham, M.D.
• Grand Oaks Sleep Solutions LLC
• Dirk Graves, O.D.,M.N.S.
• Anna Shealy Gray, MSP/CCC-SLP
• Tonya Nechole Gray, MASTER OF ARTS

• Physical Therapist in Anderson, SC
• Providers in Anderson, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2017; 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.