Nicholas L Graham, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

078882 Issued in IA

Practice address

1710 W 1St St Ste D
Cedar Falls, IA 50613

Phone

(319) 273-8988

NPI assigned

Aug 7, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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": "1438905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1477939841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 OAKMONT LN STE 600C",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595548",
            "telephone_number": "630-575-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 W 1ST ST STE D",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "50613",
            "telephone_number": "319-273-8988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1655 East San Marnan Drive",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Waterloo",
            "state": "IA",
            "postal_code": "50702",
            "country_code": "US",
            "telephone_number": "319-433-4750",
            "fax_number": "319-433-0355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1655 East San Marnan Drive",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Waterloo",
            "state": "IA",
            "postal_code": "50702",
            "country_code": "US",
            "telephone_number": "319-433-4750",
            "fax_number": "319-433-0355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "NICHOLAS",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-07",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01499700",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "078882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brennen Godeen, DO
• Myrtle Godfrey, COUNSELOR
• Madison Rae Gorman
• Margaret Sue Gorter, TLMHC
• Cari Graham, PT
• Wes Grapp, PTA
• Kathleen A.N. Grauerholz, MD
• Michele Renee Green, CHIROPRACTOR
• Terrance Greer, MS, (TLMHC)
• Robert Lee Gregorsok, D.D.S.

• Physical Therapist in Cedar Falls, IA
• Providers in Cedar Falls, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; 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.