Individual provider Active NPI

Emily Graham Dillard, PT, DPT

  • Physical Therapist
  • Madison, AL
National Provider Identifier
1295124568
Registry record updated Jun 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11281 Issued in TN
Practice address
12110 County Line Rd Ste B
Madison, AL 35756-2009
Phone
(256) 232-9001
Fax
(256) 233-1001
NPI assigned
Jan 9, 2015
Last updated
Jun 14, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH7936 AL
Physical Therapist 225100000X PT5612 MS
Physical Therapist 225100000X 11281 TN Primary

Addresses

Primary practice location

12110 County Line Rd Ste B
Madison, AL 35756-2009

Mailing address

6397 Lee Hwy Ste 300
Chattanooga, TN 37421-2564
Phone (423) 238-7217

Other practice location 1

28235 Al Highway 53
Ardmore, AL 35739-8703
Phone (256) 943-1426

Other names 1

  • Emily Anne Graham Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160427002038 AL Practitioner - Physical Therapist in Private Practice 3971802885 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agilitas USA, IncGroup PAC ID 3375454648, 812 clinicians

Practice addresses (Care Compare)

1781 B Commons N Loop
Tuscaloosa, AL 35406-3577
Phone (205) 752-0845

2215 Decatur Hwy
Suite 125
Gardendale, AL 35071-2385
Phone (205) 285-8790

2555 Hwy 78 E
Jasper, AL 35501-3433
Phone (205) 385-7919

401 Peter Bryce Blvd
Tuscaloosa, AL 35487-0001
Phone (205) 348-3904

5541 Grove Blvd
C2
Hoover, AL 35226-4600
Phone (205) 277-6870

7402 Hwy 69 S
Suite G
Tuscaloosa, AL 35405-1301
Phone (205) 758-5832

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11281TNMDPeriodontist
PTH7936ALMDPhysical Therapist
PT5612MSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy-Alabama, LLC Physical Therapist CurrentSince Jul 2, 2018 Accepting new patients
Drayer Physical Therapy Alabama LLC CurrentSince Jul 2, 2018 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Apr 1, 2022 Accepting new patients
Benchmark Physical Therapy of Alabama, LLC Physical Therapist CurrentSince Apr 11, 2016 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Apr 1, 2022 Accepting new patients
Benchmark Physical Therapy of Alabama, LLC Physical Therapist PastSince Dec 15, 2019 Accepting new patients

Locations

28235 AL Highway 53
Ardmore, AL 35739
Phone (256) 233-2332

153 Narrows Pkwy
Ste 101
Birmingham, AL 35242
Phone (205) 640-4881

151 Fly Creek Ave
Ste 438
Fairhope, AL 36532
Phone (251) 928-9619

2215 Decatur Hwy
Ste 125
Gardendale, AL 35071
Phone (205) 285-8790

3947 Gulf Shores Pkwy
Ste 260
Gulf Shores, AL 36542
Phone (251) 943-0803

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1713 Montgomery Hwy
Ste 131
Hoover, AL 35244
Phone (205) 403-8701

5541 Grove Blvd
#C2
Hoover, AL 35226
Phone (205) 277-6870

4601 Whitesburg Dr SE
Ste 102
Huntsville, AL 35802
Phone (256) 883-1734

4500 Montevallo Rd
Ste E107
Irondale, AL 35210
Phone (205) 957-0870

12110 County Line Rd
Ste B
Madison, AL 35756
Phone (256) 232-9001

7721 Airport Blvd
Ste E120
Mobile, AL 36608
Phone (251) 631-3680

2846 Moody Pkwy
Ste 200
Moody, AL 35004
Phone (205) 640-0257

5009 Riverchase Dr
Ste 100C
Phenix City, AL 36867
Phone (334) 291-5125

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

1202 N Charles G Seivers Blvd
Ste A
Clinton, TN 37716
Phone (865) 457-0192

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1420761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528934400000",
    "number": "1295124568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6397 LEE HWY STE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212564",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12110 COUNTY LINE RD STE B",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357562009",
            "telephone_number": "256-232-9001",
            "fax_number": "256-233-1001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28235 Al Highway 53",
            "address_purpose": "LOCATION",
            "city": "Ardmore",
            "state": "AL",
            "postal_code": "357398703",
            "country_code": "US",
            "telephone_number": "256-943-1426",
            "fax_number": "256-943-1430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DILLARD",
        "first_name": "EMILY",
        "middle_name": "GRAHAM",
        "credential": "PT,  DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-09",
        "last_updated": "2018-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH7936",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT5612",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "11281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "GRAHAM",
            "middle_name": "ANNE",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2018; 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.