Active NPI
Kameron Paul Graber, PT, DPT, LAT, ATC
- Athletic Trainer
- Loogootee, IN
National Provider Identifier
1629856695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 36003713A
- Practice address
- 300 E Broadway St
Loogootee, IN 47553-1708 - Phone
- (812) 709-3286
- NPI assigned
- Sep 20, 2023
- Last updated
- Aug 25, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05016105A | IN | |
| Athletic Trainer | 2255A2300X | 36003713A | IN | Primary |
Addresses
Primary practice location
300 E Broadway St
Loogootee, IN 47553-1708
Mailing address
787 S 700 E
Montgomery, IN 47558-5562
Other practice location 1
933 S State Road 57
Washington, IN 47501-4374
Phone (812) 202-7070
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 |
|---|---|---|---|
| 05016105A | IN | MD | Physical Therapist |
| 36003713A | IN | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martin County Urgent Care LLC | Current | Accepting new patients | |
| Harvest Health & Rehab LLC | Physical Therapist | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Speech-Language Pathologist
- Loogootee, IN
- NPI 1659828218
Physical Therapist
-
- Urgent Care Clinic/Center
- Loogootee, IN
- NPI 1346923414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756080000000",
"number": "1629856695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "787 S 700 E",
"city": "MONTGOMERY",
"state": "IN",
"postal_code": "475585562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 E BROADWAY ST",
"city": "LOOGOOTEE",
"state": "IN",
"postal_code": "475531708",
"telephone_number": "812-709-3286"
}
],
"practiceLocations": [
{
"address_1": "933 S State Road 57",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "IN",
"postal_code": "475014374",
"country_code": "US",
"telephone_number": "812-202-7070",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRABER",
"first_name": "KAMERON",
"middle_name": "PAUL",
"credential": "PT, DPT, LAT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-09-20",
"last_updated": "2025-08-25",
"certification_date": "2025-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05016105A",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IN",
"license": "36003713A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loogootee, IN
- Krystal Dawn Eckert, OTR
- Jessica Lynn Elkins, MA, CF-SLP
- Lindsey Brooke Gingerich, OTR
- Good Samaritan Family Health Center, Inc (Family Health Center)
- Good Samaritan Family Health Center, Inc (Family Health Center)
- Brooke Wolfe Gregory, NP
- Maureen Gutgsell, R.PH.
- Harvest Health & Rehab LLC
- Desiree L Haskins, LCSW
- Jordan Kyle Hawkins, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.