Active NPI
Grant M Draper, DPT
- Physical Therapist
- Fort Worth, TX
National Provider Identifier
1619564937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1338317
- Practice address
- 3621 Camp Bowie Boulevard
Fort Worth, TX 76107 - Phone
- (817) 570-7073
- NPI assigned
- Dec 22, 2020
- Sex
- Male
- 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 | 1338317 | TX | Primary |
Addresses
Primary practice location
3621 Camp Bowie Boulevard
Fort Worth, TX 76107
Mailing address
3608 Burgee CT
Fort Worth, TX 76244-8654
Phone (817) 600-1191
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 |
|---|---|---|---|
| 1338317 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Globalrehab - Fort Worth, LP | Past | Accepting new patients |
Organizations & group practices 1
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.
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- Granbury, TX
- NPI 1477000974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608595200000",
"number": "1619564937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3608 BURGEE CT",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "762448654",
"telephone_number": "817-600-1191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3621 CAMP BOWIE BOULEVARD",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "76107",
"telephone_number": "817-570-7073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAPER",
"first_name": "GRANT",
"middle_name": "M",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-22",
"last_updated": "2020-12-22",
"certification_date": "2020-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1338317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.