Active NPI
Eliza C Graham
- Physical Therapist
- Lorton, VA
National Provider Identifier
1508540774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305215659
- Practice address
- 9010 Lorton Station Blvd Ste 240
Lorton, VA 22079-4795 - Phone
- (703) 337-1550
- NPI assigned
- Jun 9, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305215659 | VA | Primary |
Addresses
Primary practice location
9010 Lorton Station Blvd Ste 240
Lorton, VA 22079-4795
Mailing address
1345 Enterprise Dr
West Chester, PA 19380-5964
Phone (617) 833-2575
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 |
|---|---|---|---|
| 2305215659 | VA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779062400000",
"number": "1508540774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1345 ENTERPRISE DR",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193805964",
"telephone_number": "617-833-2575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9010 LORTON STATION BLVD STE 240",
"city": "LORTON",
"state": "VA",
"postal_code": "220794795",
"telephone_number": "703-337-1550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "ELIZA",
"middle_name": "C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-09",
"last_updated": "2026-05-18",
"certification_date": "2026-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305215659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lorton, VA
- Global Independent Home Healthcare LLC
- Tyler Gloschat, DPM
- David Godschalk, PT, DPT
- Golden Living Healthcare Services LLC
- Andrea F Goldin, D.M.D.
- Greater Metropolitan Orthopaedic Institute
- Guiding Pathways Therapeutic Consultation LLC
- Kimberly Guinee, MSPT
- Mimi Gulelat, RPH
- Jean Rose Guthrie, PT, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.