Christopher Graham, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT23979 Issued in CA

Practice address

1 Lmu Dr
Athletic Department
Los Angeles, CA 90045-2650

Phone

(424) 252-9816

Fax

(424) 253-2916

NPI assigned

Jul 13, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442966400000",
    "number": "1740288794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 MARKET ST APT C",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902915317",
            "telephone_number": "424-252-2916",
            "fax_number": "424-253-2916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LMU DR",
            "address_2": "ATHLETIC DEPARTMENT",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900452650",
            "telephone_number": "424-252-9816",
            "fax_number": "424-253-2916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "CHRISTOPHER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2015-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT23979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP ID NUMBER",
            "identifier": "W15428",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael William Gragnani, MA, OTR/L
• Graham M. Woolf M.D., Inc.
• Graham Physical Therapy, Inc.
• Nzinga Graham-Hines, M.D.
• Adria Marissa Graham, P.A.
• Damisi Graham, LCSW
• Danielle Lindsey Graham
• Darby Graham, MD
• David Graham
• Donna Marie Graham

• Physical Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; 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.