Individual provider Active NPI

Jamie G Graves, P.T.

  • Physical Therapist
  • Elma, WA
National Provider Identifier
1487770392
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
00008987 Issued in WA
Practice address
575 E Main St
Building 1, Suite a
Elma, WA 98541-9551
Phone
(360) 482-5640
Fax
(360) 482-5132
NPI assigned
Mar 22, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 00008987 WA Primary

Addresses

Primary practice location

575 E Main St
Building 1, Suite a
Elma, WA 98541-9551

Mailing address

PO Box 217
Cosmopolis, WA 98537-0217
Phone (360) 537-9772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090501000036 WA Practitioner - Physical Therapist in Private Practice 8628126638 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
96.32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00008987WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel Carl Burns MSPT Inc PS Physical Therapist CurrentSince Aug 20, 2013 Accepting new patients
Partnering Together Inc Physical Therapist CurrentSince Aug 20, 2013 Accepting new patients

Locations

501 8th St
Hoquiam, WA 98550
Phone (360) 532-0544

885 Point Brown Ave NW
Ocean Shores, WA 98569
Phone (360) 289-0251

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487770392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 217",
            "city": "COSMOPOLIS",
            "state": "WA",
            "postal_code": "985370217",
            "telephone_number": "360-537-9772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 E MAIN ST",
            "address_2": "BUILDING 1, SUITE A",
            "city": "ELMA",
            "state": "WA",
            "postal_code": "985419551",
            "telephone_number": "360-482-5640",
            "fax_number": "360-482-5132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "JAMIE",
        "middle_name": "G",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "00008987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.