Active NPI
Carolyn Graham, MSPT
- Physical Therapist
- Canton, MA
National Provider Identifier
1316141609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13224
- Practice address
- 119H Revere St
Canton, MA 02021-2981 - Phone
- (781) 956-9685
- NPI assigned
- Jun 12, 2007
- Last updated
- Jan 13, 2011
- 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 | 13224 | MA | Primary |
Addresses
Primary practice location
119H Revere St
Canton, MA 02021-2981
Mailing address
119H Revere St
Canton, MA 02021-2981
Phone (781) 956-9685
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294876800000",
"number": "1316141609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119H REVERE ST",
"city": "CANTON",
"state": "MA",
"postal_code": "020212981",
"telephone_number": "781-956-9685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119H REVERE ST",
"city": "CANTON",
"state": "MA",
"postal_code": "020212981",
"telephone_number": "781-956-9685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "CAROLYN",
"name_prefix": "Mrs.",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-12",
"last_updated": "2011-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "13224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.