Active NPI
Laurie Elizabeth Graves, PT, DPT
- Physical Therapist
- Longview, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH11353
- Practice address
- 1560 3Rd Ave
Longview, WA 98632-3229 - Phone
- (360) 423-9535
- NPI assigned
- May 25, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTH11353 | AL | Primary |
Addresses
Primary practice location
1560 3Rd Ave
Longview, WA 98632-3229
Mailing address
929 King Drake Rd
Brownsboro, AL 35741-9573
Phone (256) 337-7962
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2500 Cherry Ave
Bremerton, WA 98310-4202
Phone (360) 792-1015
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH11353 | AL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kitsap Physical Therapy and Sports Clinic PS Inc | Physical Therapist | Current | Accepting new patients |
| Kitsap Physical Therapy and Sports Clinic PS Inc | Physical Therapist | Current | Accepting new patients |
| Northwest Center for Sports Medicine & Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
| Northwest Center for Sports Medicine & Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
| Peak Sports & Spine Physical Therapy-Klahanie PS | Past | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
2500 Cherry Ave
Bremerton, WA 98310
Phone (360) 620-3847
1714 S Gold St
Centralia, WA 98531
Phone (360) 360-5532
4411 Point Fosdick Dr
Ste 101
Gig Harbor, WA 98335
Phone (253) 851-7472
1560 3rd Ave
Longview, WA 98632
Phone (360) 423-9535
4550 Klahanie Dr SE
Sammamish, WA 98029
Phone (425) 391-2427
2400 NW Myhre Rd
Ste 101
Silverdale, WA 98383
Phone (360) 598-3764
2400 NW Myhre Rd
Ste 102
Silverdale, WA 98383
Phone (360) 598-3764
Organizations & group practices 5
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.
-
- Physical Therapist
- Silverdale, WA
- NPI 1912902347
-
- Physical Therapist
- Gig Harbor, WA
- NPI 1982755070
-
- Durable Medical Equipment & Medical Supplies
- Kingston, WA
- NPI 1700466083
Physical Therapist
-
- Physical Therapist
- Tacoma, WA
- NPI 1225582844
-
- Physical Therapy Clinic/Center
- Sammamish, WA
- NPI 1154655215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684972800000",
"number": "1306538434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "929 KING DRAKE RD",
"city": "BROWNSBORO",
"state": "AL",
"postal_code": "357419573",
"telephone_number": "256-337-7962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1560 3RD AVE",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986323229",
"telephone_number": "360-423-9535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAVES",
"first_name": "LAURIE",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-25",
"last_updated": "2023-05-25",
"certification_date": "2023-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH11353",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longview, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.