Caleb Graveldinger

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT020463 Issued in OH

Practice address

702 Commerce Dr Ste 130
Perrysburg, OH 43551-5272

Phone

(419) 931-9990

NPI assigned

May 15, 2023

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)

Enrolled

State licenses

Practice roles

Locations

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

• Opti-Health Group Inc

  • Durable Medical Equipment & Medical Supplies
  • Bowling Green, OH
  • NPI 1194812313
  NPD
• The Opti-Health Group Inc

  • Physical Therapist
  • Findlay, OH
  • NPI 1356322259
  NPD

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1437840261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 WESTERN AVE STE B",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458401390",
            "telephone_number": "419-422-5526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 COMMERCE DR STE 130",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435515272",
            "telephone_number": "419-931-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVELDINGER",
        "first_name": "CALEB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT020463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Howard Gosman, M.D., PHD
• Amy Lynn Graham, FNP-C
• Jessica Graham
• Kimberly Graham, LISW
• Nicholas John Graham
• Great Lakes Employment Services LTD
• Great Lakes Medical Services LLC
• Great Lakes Medical Services LLC
• Great Lakes Medical Services LLC
• Great Lakes Nursing LLC

• Physical Therapist in Perrysburg, OH
• Providers in Perrysburg, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.