Emma Tien Graham, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT293613 Issued in CA

Practice address

421 E Mission Ave
Escondido, CA 92025-1909

Phone

(760) 747-0430

NPI assigned

Oct 4, 2018

Last updated

Oct 4, 2018By the provider in NPPES

Sex

Female

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": "1538611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1659846764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8605 LUCIANO CT",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958286367",
            "telephone_number": "916-761-8896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 E MISSION AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920251909",
            "telephone_number": "760-747-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "EMMA",
        "middle_name": "TIEN",
        "name_prefix": "Dr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-04",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT293613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Counseling & Psychotherapy Inc.
• Leeanna Grace
• Monika-Maria Grace, PH.D.
• Michele A. Grad, M.D.
• Rachel Elizabeth Graef
• Jillian Christina Graham, MSW
• Katie Graham, CADTP
• Stephanie Nicole Grajales, LCSW
• Michael Grant, CADC-I
• Tamara Jean Grant

• Physical Therapist in Escondido, CA
• Providers in Escondido, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; 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.