Individual provider Active NPI

Theodore I Graham, DPT

  • Physical Therapist
  • West Chester, OH
National Provider Identifier
1790520450
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT021252 Issued in OH
Practice address
7720 Dudley Dr
West Chester, OH 45069-2400
Phone
(513) 779-5410
NPI assigned
Jun 26, 2024
Last updated
Jun 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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 PT021252 OH Primary

Addresses

Primary practice location

7720 Dudley Dr
West Chester, OH 45069-2400

Mailing address

3437 Eyrich Rd
Cincinnati, OH 45248-4149

Other practice location 1

1198 Smiley Ave Ste F
Cincinnati, OH 45240-1866
Phone (513) 671-6362

Other practice location 2

5999 Meijer Dr
Milford, OH 45150-2191
Phone (513) 966-3660

Other practice location 3

7109 Hamilton Mason Rd Ste A
West Chester, OH 45069-1784
Phone (513) 759-6494

Other practice location 4

1525 Genntown Dr Ste A6
Lebanon, OH 45036-7323
Phone (513) 970-7230

Other practice location 5

3187 Western Row Rd Ste 102
Maineville, OH 45039-8012
Phone (513) 459-8599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT021252OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabclinics SPT, Inc. PastSince Jun 30, 2024 Accepting new patients

Organizations & group practices 1

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": "1719360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1790520450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3437 EYRICH RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452484149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7720 DUDLEY DR",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450692400",
            "telephone_number": "513-779-5410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1198 Smiley Ave Ste F",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452401866",
            "country_code": "US",
            "telephone_number": "513-671-6362",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5999 Meijer Dr",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "OH",
            "postal_code": "451502191",
            "country_code": "US",
            "telephone_number": "513-966-3660",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7109 Hamilton Mason Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "OH",
            "postal_code": "450691784",
            "country_code": "US",
            "telephone_number": "513-759-6494",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1525 Genntown Dr Ste A6",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "OH",
            "postal_code": "450367323",
            "country_code": "US",
            "telephone_number": "513-970-7230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3187 Western Row Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Maineville",
            "state": "OH",
            "postal_code": "450398012",
            "country_code": "US",
            "telephone_number": "513-459-8599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "THEODORE",
        "middle_name": "I",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT021252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.