Individual provider Active NPI

Suzanne Thomas Graves, MPT

  • Physical Therapist
  • Silver City, NM
National Provider Identifier
1700967247
Registry record updated Feb 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2117 Issued in NM
Practice address
310 W 11TH St
Silver City, NM 88061-5113
Phone
(575) 534-1187
Fax
(575) 534-1439
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2017

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 2117 NM Primary

Addresses

Primary practice location

310 W 11TH St
Silver City, NM 88061-5113

Mailing address

310 W 11TH St
Silver City, NM 88061-5113
Phone (575) 534-1187

Other identifiers 1

IdentifierTypeStateIssuer
65139721MedicaidNM

Other names 1

  • Ms. Suzanne Thomas Graves Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040727000386 NM Practitioner - Physical Therapist in Private Practice 8022088350 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Bone and Joint Institute, PCGroup PAC ID 5890717508, 8 clinicians

Practice addresses (Care Compare)

1268 E 32ND St
Silver City, NM 88061-7229
Phone (575) 534-1919

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2117NMMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Bone and Joint Institute PC CurrentSince Jul 10, 2023 Accepting new patients
Southwest Bone and Joint Institute PC Physical Therapist CurrentSince Jul 10, 2023 Accepting new patients

Locations

1268 E 32nd St
Silver City, NM 88061
Phone (505) 534-1919

Interoperability endpoints

  • Direct secure messaging: sgraves@dspt-nm.direct.office.nextgen.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1700967247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 W 11TH ST",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880615113",
            "telephone_number": "575-534-1187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W 11TH ST",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880615113",
            "telephone_number": "575-534-1187",
            "fax_number": "575-534-1439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "SUZANNE",
        "middle_name": "THOMAS",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "2117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65139721",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "GRAVES",
            "middle_name": "THOMAS",
            "prefix": "MS.",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Silver City, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; 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.