Active NPI
Maureen A Graffum, LPTA
- Physical Therapy Assistant
- Ludlow, MA
National Provider Identifier
1447594908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 834
- Practice address
- 38 Wyndermere PL
Ludlow, MA 01056-1191 - Phone
- (413) 583-4779
- NPI assigned
- Nov 21, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 834 | MA | Primary |
| Physical Therapy Assistant | 225200000X | 193 | RI |
Addresses
Primary practice location
38 Wyndermere PL
Ludlow, MA 01056-1191
Mailing address
38 Wyndermere PL
Ludlow, MA 01056-1191
Phone (413) 583-4779
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 |
|---|---|---|---|
| 834 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353456000000",
"number": "1447594908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 WYNDERMERE PL",
"city": "LUDLOW",
"state": "MA",
"postal_code": "010561191",
"telephone_number": "413-583-4779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38 WYNDERMERE PL",
"city": "LUDLOW",
"state": "MA",
"postal_code": "010561191",
"telephone_number": "413-583-4779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAFFUM",
"first_name": "MAUREEN",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "LPTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-21",
"last_updated": "2012-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MA",
"license": "834",
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "RI",
"license": "193",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ludlow, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.