Todd C Graham

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

SMT013737 Issued in GA

Practice address

26 Bouldercrest LN SE Apt 7D
Atlanta, GA 30316-5002

Phone

(734) 560-7904

NPI assigned

Oct 11, 2021

Last updated

Jan 27, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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": "1633910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1386306058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 BOULDERCREST LN SE APT 7D",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303165002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 BOULDERCREST LN SE APT 7D",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303165002",
            "telephone_number": "734-560-7904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "TODD",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-11",
        "last_updated": "2022-01-27",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "SMT013737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malcolm Graham, M.D.
• Margaret Graham, PTA
• Sandra Hunt Graham, NP
• Shavontai Graham, CCC-SLP
• Toby Bernard Graham Jr.
• Abigail Marie Grahek, CRNA
• Jennie Graiser
• Samuel Benjamin Graitcer, M.D.
• Valentina Grajales, MD
• Lindsay C Gramer, PAAA

• Massage Therapist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Massage Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.