Active NPI
Christa Grady, PT
- Physical Therapist
- Proctorville, OH
National Provider Identifier
1659397826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10893
- Practice address
- 98 State St
Proctorville, OH 45669-8163 - Phone
- (740) 886-9403
- Fax
- (740) 446-5153
- NPI assigned
- Jul 14, 2006
- Last updated
- Jul 31, 2007
- Sex
- Female
- 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 | 10893 | OH | Primary |
| Physical Therapist | 225100000X | 002249 | WV |
Addresses
Primary practice location
98 State St
Proctorville, OH 45669-8163
Mailing address
90 Jackson Pike
Gallipolis, OH 45631-1560
Phone (740) 446-5890
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659397826 | Other | NPI | |
| P00223767 | Other | RR MEDICARE | |
| 000000217253 | Other | ANTHEM BCBS | |
| 3810000890 | Medicaid | WV | |
| 2540807 | Other | OH | MOLINA MEDICAID |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10893 | OH | MD | Physical Therapist |
| 002249 | WV | MD | Physical Therapy Assistant |
Interoperability endpoints
- christa.grady.1@17389.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185840000000",
"number": "1659397826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 JACKSON PIKE",
"city": "GALLIPOLIS",
"state": "OH",
"postal_code": "456311560",
"telephone_number": "740-446-5890",
"fax_number": "740-446-5532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98 STATE ST",
"city": "PROCTORVILLE",
"state": "OH",
"postal_code": "456698163",
"telephone_number": "740-886-9403",
"fax_number": "740-446-5153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRADY",
"first_name": "CHRISTA",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2007-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "10893",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WV",
"license": "002249",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1659397826",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00223767",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000217253",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810000890",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA MEDICAID",
"identifier": "2540807",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Proctorville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.