Lanell Mae Graham, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2861 Issued in NE

Practice address

130 W 4TH St
Valentine, NE 69201-1830

Phone

(402) 376-1140

Fax

(402) 376-1140

NPI assigned

Jun 21, 2011

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

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Valentine Physical Therapy and Sports Rehab, LLC.

  • Physical Therapy Clinic/Center
  • Valentine, NE
  • NPI 1487940698

  Physical Therapist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1265728943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 W 4TH ST",
            "city": "VALENTINE",
            "state": "NE",
            "postal_code": "692011830",
            "telephone_number": "402-376-1140",
            "fax_number": "402-376-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W 4TH ST",
            "city": "VALENTINE",
            "state": "NE",
            "postal_code": "692011830",
            "telephone_number": "402-376-1140",
            "fax_number": "402-376-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "LANELL",
        "middle_name": "MAE",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "2861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026179000",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Duncan, CHILDBIRTH EDUCATOR
• Brady Jon Dunkel
• Colby Lee Fletcher, O.D.
• Lisa Flood
• Ann Galloway
• Daniel Taylor Graves, DMD
• Morgan Derica Greenough, RN
• Katie Marie Hale
• Ashtyn Marie Hamlin
• Priscilla Hawthorne

• Physical Therapist in Valentine, NE
• Providers in Valentine, NE by specialty
• Physical Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.