Tamara Nancy Gravano, PT, DPT, GCS, CEEAA

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

PT 002939 Issued in WV

Practice address

2847 5TH Ave
Marshall University School of Physical Therapy,
Huntington, WV 25702-1435

Phone

(304) 696-5616

NPI assigned

Apr 6, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399248000000",
    "number": "1407979404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2847 5TH AVE",
            "address_2": "MARSHALL UNIVERSITY SCHOOL OF PHYSICAL THERAPY,",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257021435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2847 5TH AVE",
            "address_2": "MARSHALL UNIVERSITY SCHOOL OF PHYSICAL THERAPY,",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257021435",
            "telephone_number": "304-696-5616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVANO",
        "first_name": "TAMARA",
        "middle_name": "NANCY",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, GCS, CEEAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2014-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 20800",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "LA",
            "license": "07435R",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "WV",
            "license": "PT 002939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Graiver, PHARMD
• Eric T Grant, PA-C
• Joshua Nathaniel Grant
• Shelly Grant
• Timothy Alan Grau, M.D.
• Mary Lou Gravely
• Bryan Gray
• Hollie Gray, APRN
• Jamie Gray
• Larry Gray

• Geriatric Physical Therapist in Huntington, WV
• Providers in Huntington, WV by specialty
• Geriatric Physical Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; 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.