Evan Graybill, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306604895 Issued in VA

Practice address

112 Oaktree Blvd
Christiansburg, VA 24073-1488

Phone

(540) 382-1346

NPI assigned

Mar 12, 2019

Sex

Male

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

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": "1552348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552348800000",
    "number": "1629536370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 EPPERLY DR SE",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240735221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 OAKTREE BLVD",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240731488",
            "telephone_number": "540-382-1346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAYBILL",
        "first_name": "EVAN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-12",
        "last_updated": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306604895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arnold B Graboyes, M.D.
• Carter David Graceson
• Kristen Dawn Graves, PHARMD
• Amy Lynn Gray, MSN, FNP-C
• Brandi Alane Gray, LPC
• Michael Paul Greenage, D.O.
• Greenbrook TMS Christiansburg LLC
• Kevin Griffin, MD
• Maria Grigoropoulou, CCC-SLP
• Margaret Ann Grove, M.D.

• Physical Therapy Assistant in Christiansburg, VA
• Providers in Christiansburg, VA by specialty
• Physical Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; 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.