Kathryn Graves, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

019958 Issued in NY

Practice address

3175 E Genesee St Ste 5
Syracuse, NY 13224-1613

Phone

(315) 810-2423

NPI assigned

Jan 17, 2011

Sex

Female

Sole proprietor

No

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

Enrolled in NY

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Engage PT OT and SLPGroup PAC ID 0143645192, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Engage PT OT and SLP

  • Physical Therapist
  • Syracuse, NY
  • NPI 1841813805

  Speech-Language Pathologist

  Medicare reassignment Care Compare group NPD
• Neuro Fit PT and SLP PLLC

  • Physical Therapist
  • Syracuse, NY
  • NPI 1851921597

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1295222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1609171057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3175 E GENESEE ST STE 5",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132241613",
            "telephone_number": "315-810-2423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3175 E GENESEE ST STE 5",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132241613",
            "telephone_number": "315-810-2423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 W 6th St",
            "address_purpose": "LOCATION",
            "city": "Oswego",
            "state": "NY",
            "postal_code": "131262507",
            "country_code": "US",
            "telephone_number": "315-349-5558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "KATHRYN",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-17",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "019958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Grant, RN
• Tyler Grant, RN
• Gina Grasso-Mims, LCSW
• Anthony J Grasso Jr., DDS
• Jason Graterol
• Kristen Graves, MD
• Caitlin Gray
• Suzanne Gray
• Stephen L Graziano, MD
• Jacqueline J B Greacen, FNP

• Speech-Language Pathologist in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.