Gabriel Gordon Gravatt, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

6641 Issued in TN

Practice address

1750 Linda LN
Maryville, TN 37803-5536

Phone

(865) 406-0781

NPI assigned

Jun 5, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1316439334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 LINDA LN",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378035536",
            "telephone_number": "865-406-0781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 LINDA LN",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378035536",
            "telephone_number": "865-406-0781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVATT",
        "first_name": "GABRIEL",
        "middle_name": "GORDON",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-05",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "6641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Royce Jacob Goza, D.D.S.
• Grace Adult Day Center
• Grace Point PLLC
• Layla Grant Moore
• David Bryant Grantham, ED.D.
• Mary Kathleen Gravatt, PTA
• Sherri Graves, M.A., CCC-SLP
• Rebecca W Gray, CCC-SLP
• Robyn Rarick Gray, NP
• Morgan Grecu, PHARMD

• Physical Therapy Assistant in Maryville, TN
• Providers in Maryville, TN by specialty
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; 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.