Active NPI
Tonja Ann Graves, ATR
- Art Therapist
- Castle Rock, CO
National Provider Identifier
1457176307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- License
- 24-036
- Practice address
- 19 Wilcox St
Castle Rock, CO 80104-1904 - Phone
- (303) 688-6698
- NPI assigned
- Nov 16, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Art Therapist | 221700000X | 24-036 | CO | Primary |
Addresses
Primary practice location
19 Wilcox St
Castle Rock, CO 80104-1904
Mailing address
18 S Wilcox St
Castle Rock, CO 80104-1968
Phone (303) 688-6698
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 |
|---|---|---|---|
| 24-036 | CO | MD | Art Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731715200000",
"number": "1457176307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 S WILCOX ST",
"city": "CASTLE ROCK",
"state": "CO",
"postal_code": "801041968",
"telephone_number": "303-688-6698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 WILCOX ST",
"city": "CASTLE ROCK",
"state": "CO",
"postal_code": "801041904",
"telephone_number": "303-688-6698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAVES",
"first_name": "TONJA",
"middle_name": "ANN",
"credential": "ATR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-16",
"last_updated": "2024-11-16",
"certification_date": "2024-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "CO",
"license": "24-036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Castle Rock, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.