Active NPI
Payton Lane Graham, DPT
- Physical Therapist
- Wilmington, NC
National Provider Identifier
1639022239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P24678
- 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
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 | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Inc
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
| License | State | Type | Specialty |
|---|---|---|---|
| 24678 | NC | MD | Pharmacist |
| P24678 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PT by the Sea, Inc | Physical Therapist | Current | 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.