Individual provider Active NPI

Dawn Degraff, PTA

  • Physical Therapy Assistant
  • Spring Hill, FL
National Provider Identifier
1326309980
Registry record updated May 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA1637 Issued in FL
Practice address
1255 Van Dale Ave
Spring Hill, FL 34608-6475
Phone
(352) 345-0157
NPI assigned
May 30, 2012
Last updated
May 30, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA1637 FL Primary

Addresses

Primary practice location

1255 Van Dale Ave
Spring Hill, FL 34608-6475

Mailing address

1255 Van Dale Ave
Spring Hill, FL 34608-6475
Phone (352) 345-0157

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTA1637FLMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338336000000",
    "number": "1326309980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 VAN DALE AVE",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346086475",
            "telephone_number": "352-345-0157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 VAN DALE AVE",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346086475",
            "telephone_number": "352-345-0157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGRAFF",
        "first_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-30",
        "last_updated": "2012-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA1637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; 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.