Individual provider Active NPI

Hadley Graham, PT

  • Physical Therapist
  • Haymarket, VA
National Provider Identifier
1720867260
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305216058 Issued in VA
Practice address
6444 Trading SQ
Haymarket, VA 20169-2277
Phone
(571) 932-3480
Fax
(571) 932-8072
NPI assigned
Sep 25, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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 2305216058 VA Primary

Addresses

Primary practice location

6444 Trading SQ
Haymarket, VA 20169-2277

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (630) 575-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241106000124 VA Practitioner - Physical Therapist in Private Practice 8426582099 Reassigns benefits to 4 organizations
I20251208004097 DC Practitioner - Physical Therapist in Private Practice 8426582099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oncology Rehab and Wellness Resources LLCGroup PAC ID 2961647847, 4 clinicians
Tidewater Physical Therapy LLCGroup PAC ID 6406759281, 225 clinicians
Professional Sportscare and Rehab LLCGroup PAC ID 9335137363, 103 clinicians

Practice addresses (Care Compare)

44160 Scholar PLZ
Suite 390
Lansdowne, VA 20176-3461
Phone (703) 789-0367

6444 Trading SQ
Suite 50
Haymarket, VA 20169-2277
Phone (571) 932-3480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Sportscare & Rehab, LLC Physical Therapist CurrentSince Nov 2, 2025 Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist CurrentSince Nov 2, 2025 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Nov 2, 2025 Accepting new patients
Oncology Rehab and Wellness Resources, LLC Physical Therapist CurrentSince Nov 11, 2024 Accepting new patients
Athletico, LTD Physical Therapist CurrentSince Nov 2, 2025 Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist CurrentSince Nov 2, 2025 Accepting new patients
Professional Sportscare & Rehab, LLC Physical Therapist PastSince Nov 2, 2025 Accepting new patients

Locations

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

1600 Wilson Blvd
Ste 102
Arlington, VA 22209
Phone (301) 464-4500

10128 W Broad St
Bldg Iii
Glen Allen, VA 23060
Phone (804) 217-9210

6444 Trading Sq
Ste 50
Haymarket, VA 20169
Phone (571) 932-3480

44160 Scholar Plz
Ste 390
Leesburg, VA 20176
Phone (703) 789-0367

11662 Sudley Manor Dr
#50B
Manassas, VA 20109
Phone (571) 321-5720

4625 Virginia Beach Blvd
Ste 103
Virginia Beach, VA 23462
Phone (757) 600-5999

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1720867260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "630-575-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6444 TRADING SQ",
            "city": "HAYMARKET",
            "state": "VA",
            "postal_code": "201692277",
            "telephone_number": "571-932-3480",
            "fax_number": "571-932-8072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "HADLEY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-25",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305216058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haymarket, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; 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.