Sara Graves, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

40QA00948800 Issued in NJ

Practice address

712 Lincoln Ave
Ridgefield Park, NJ 07660-1416

Phone

(201) 637-5615

NPI assigned

Feb 27, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1538925540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 CLAREMONT AVE",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076634850",
            "telephone_number": "201-637-5615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 LINCOLN AVE",
            "city": "RIDGEFIELD PARK",
            "state": "NJ",
            "postal_code": "076601416",
            "telephone_number": "201-637-5615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "SARA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-27",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NJ",
            "license": "40QA00948800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gilberto Fuentes Jr., MD
• Cassandra Gandia, D.D.S. M.S.
• Tannia Garces- Mowla
• Sherran Golding
• Gracias Medical Solutions
• Laurence Gross, DPM
• Shuang Guo, DDS
• Nadine Hajmohamed, LCSW
• Darlene Hallock
• William Helfrey

• Pediatric Physical Therapist in Ridgefield Park, NJ
• Providers in Ridgefield Park, NJ by specialty
• Pediatric Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.

Verify at the official NPI Registry.