Active NPI
Jennifer L Graham, PT
- Physical Therapist
- South Hamilton, MA
National Provider Identifier
1366567570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10927
- Practice address
- 119 Asbury St
South Hamilton, MA 01982-1811 - Phone
- (617) 970-2193
- NPI assigned
- Mar 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 10927 | MA | Primary |
Addresses
Primary practice location
119 Asbury St
South Hamilton, MA 01982-1811
Mailing address
119 Asbury St
South Hamilton, MA 01982-1811
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10927 | MA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270425600000",
"number": "1366567570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 ASBURY ST",
"city": "SOUTH HAMILTON",
"state": "MA",
"postal_code": "019821811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 ASBURY ST",
"city": "SOUTH HAMILTON",
"state": "MA",
"postal_code": "019821811",
"telephone_number": "617-970-2193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "JENNIFER",
"middle_name": "L",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2010-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "10927",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Hamilton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.