Amanda Marie Graham, PT, DPT

Primary specialty

SpecialistTaxonomy code 174400000X

License

J1-0002958 Issued in DE

Practice address

65 Carver Rd
Dover, DE 19904-2715

Phone

(302) 672-1960

NPI assigned

Feb 20, 2013

Sex

Female

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)

Not enrolled

State licenses

Practice roles

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

• Easter Seals Delaware & Marylands Eastern Shore, Inc

  • Intellectual & Developmental Disabilities Psychologist
  • New Castle, DE
  • NPI 1437156635

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1361318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1619217213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 DELHI CT",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199774857",
            "telephone_number": "443-604-2908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 CARVER RD",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199042715",
            "telephone_number": "302-672-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-20",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "DE",
            "license": "J1-0002958",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0002958",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Catherine Gorman, PT
• Timothy Gouge, MD
• Governors Family Practice P.a
• Gowan Collective LLC
• Grace to Grace: the Parent'S Journey
• Heather Graham, DNP, APRN, AANP
• Dawn M Grandison, D.D.S.
• Adele T Granitto
• Jule Grant
• Lindsay Michele Grasso, MD

• Specialist in Dover, DE
• Providers in Dover, DE by specialty
• Specialist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.