Individual provider Active NPI

Jennifer Norton Graham, P.T.

  • Physical Therapist
  • Bethesda, MD
National Provider Identifier
1407006950
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
20066 Issued in MD
Practice address
4948 Saint Elmo Ave Ste 206
Bethesda, MD 20814-6066
Phone
(301) 652-2161
NPI assigned
Sep 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 20066 MD Primary

Addresses

Primary practice location

4948 Saint Elmo Ave Ste 206
Bethesda, MD 20814-6066

Mailing address

4948 Saint Elmo Ave Ste 206
Bethesda, MD 20814-6066
Phone (240) 401-3252

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
20066MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Graham Therapy and Fitness, P.a. CurrentSince Jun 22, 2021 Accepting new patients

Locations

4948 Saint Elmo Ave
Ste 206
Bethesda, MD 20814
Phone (301) 652-2161

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1221955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1407006950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4948 SAINT ELMO AVE STE 206",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208146066",
            "telephone_number": "240-401-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4948 SAINT ELMO AVE STE 206",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208146066",
            "telephone_number": "301-652-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "JENNIFER",
        "middle_name": "NORTON",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-21",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "20066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; 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.