Active NPI
Suzanne Thomas Graves, MPT
- Physical Therapist
- Silver City, NM
National Provider Identifier
1700967247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2117
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65139721 | Medicaid | NM |
Other names 1
- Ms. Suzanne Thomas Graves
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2117 | NM | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Bone and Joint Institute PC | Current | Accepting new patients | |
| Southwest Bone and Joint Institute PC | Physical Therapist | Current | Accepting new patients |
Locations
1268 E 32nd St
Silver City, NM 88061
Phone (505) 534-1919
Interoperability endpoints
- 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.
-
- Orthopaedic Surgery Physician
- Silver City, NM
- NPI 1841302379
Physical Therapist
-
- Orthopaedic Surgery Physician
- Deming, NM
- NPI 1386083889
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.