Active NPI
Mary Kay Kathryn Graves, MPT
- Physical Therapist
- Nashville, TN
National Provider Identifier
1437335130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5390
- Practice address
- 1500 22ND Avenue South
Nashville, TN 37205 - Phone
- (615) 322-4751
- Fax
- (615) 322-7671
- NPI assigned
- Jan 14, 2008
- Last updated
- Jan 14, 2008
- Sex
- Female
- Sole proprietor
- No
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 | 5390 | TN | Primary |
Addresses
Primary practice location
1500 22ND Avenue South
Nashville, TN 37205
Mailing address
214 Lynnwood Ter
Nashville, TN 37205-2914
Phone (615) 269-3437
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5390 | TN | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200268800000",
"number": "1437335130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 LYNNWOOD TER",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372052914",
"telephone_number": "615-269-3437",
"fax_number": "615-269-3524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 22ND AVENUE SOUTH",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "37205",
"telephone_number": "615-322-4751",
"fax_number": "615-322-7671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAVES",
"first_name": "MARY KAY",
"middle_name": "KATHRYN",
"name_prefix": "Mrs.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-14",
"last_updated": "2008-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "5390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.