Individual provider Active NPI

Payton Lane Graham, DPT

  • Physical Therapist
  • Wilmington, NC
National Provider Identifier
1639022239
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P24678 Issued in NC
Practice address
1721 Allens LN Ste 101
Wilmington, NC 28403-3662
Phone
(910) 256-4443
Fax
(910) 256-4443
NPI assigned
Feb 16, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P24678 NC Primary

Addresses

Primary practice location

1721 Allens LN Ste 101
Wilmington, NC 28403-3662

Mailing address

1721 Allens LN Ste 101
Wilmington, NC 28403-3662
Phone (910) 256-4443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260303000172 NC Practitioner - Physical Therapist in Private Practice 8325520174 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PT by the Sea IncGroup PAC ID 1557354826, 8 clinicians

Practice addresses (Care Compare)

1721 Allens LN
Suite 101
Wilmington, NC 28403-3662
Phone (910) 256-4442

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24678NCMDPharmacist
P24678NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PT by the Sea, Inc Physical Therapist CurrentSince Feb 16, 2026 Accepting new patients

Locations

1721 Allens Ln
Ste 101
Wilmington, NC 28403
Phone (910) 256-4442

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.

NPI Registry JSON

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

{
    "created_epoch": "1771200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1639022239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 ALLENS LN STE 101",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284033662",
            "telephone_number": "910-256-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 ALLENS LN STE 101",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284033662",
            "telephone_number": "910-256-4443",
            "fax_number": "910-256-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "PAYTON",
        "middle_name": "LANE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-02-16",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P24678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; 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.