Gretchen Graham, D.C., PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070018590 Issued in IL

Practice address

930 Pyott Rd
Suite 102
Crystal Lake, IL 60014-8720

Phone

(847) 854-4889

Fax

(847) 854-4890

NPI assigned

Aug 6, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Gretchen Cherne Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Williamson Pain Institute PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Cedar Park, TX
  • NPI 1528599370
  NPD
• Cherne Care Clinic, SC

  • Chiropractor
  • Crystal Lake, IL
  • NPI 1215296850
  NPD (past)

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311206400000",
    "number": "1336330208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 PYOTT RD",
            "address_2": "SUITE 102",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600148720",
            "telephone_number": "847-854-4889",
            "fax_number": "847-854-4890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 PYOTT RD",
            "address_2": "SUITE 102",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600148720",
            "telephone_number": "847-854-4889",
            "fax_number": "847-854-4890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "GRETCHEN",
        "credential": "D.C., PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2011-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.010992",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070018590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRETCHEN",
            "last_name": "CHERNE",
            "credential": "D.C., PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lorena A. Gorey, ED.D.
• Ann Gorski, PT
• Crisy Gowan
• Sandra Lukic Graba, MD
• Graceful Aging LLC
• Brooke Nicole Grandt
• Granted Mental Health Services PLLC
• Amber Elizabeth Gratz
• Mark Norman Gravdal, R.PH., CGP
• Jesse Green

• Physical Therapist in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.