Graham Physical Therapy, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT23979 Issued in CA

Legal business name

GRAHAM PHYSICAL THERAPY, INC.

Practice address

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

Phone

(310) 995-1669

NPI assigned

Aug 28, 2015

Organization subpart

No

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

Authorized official

Name

Cindy Graham, PT

Title

Cfo

Phone

(310) 490-6811

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440720000000",
    "number": "1740657444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 MARKET ST",
            "address_2": "UNIT C",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902915317",
            "telephone_number": "310-490-6811"
        },
        {
            "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": "310-995-1669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAHAM PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-28",
        "last_updated": "2015-08-28",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "310-490-6811",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT23979",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT23946",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Graff, DC
• Kevin Timothy Grafmiller
• Candace Michelle Gragnani, M.D.
• Michael William Gragnani, MA, OTR/L
• Graham M. Woolf M.D., Inc.
• Nzinga Graham-Hines, M.D.
• Adria Marissa Graham, P.A.
• Christopher Graham, PT
• Damisi Graham, LCSW
• Danielle Lindsey Graham

• Physical Therapy Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.