Active NPI
Matthew J Graziano, DPT
- Physical Therapist
- Hiram, GA
National Provider Identifier
1811216955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT009925
- Practice address
- 3827 Jimmy Lee Smith Pkwy
Suite 122
Hiram, GA 30141-2804 - Phone
- (770) 943-1142
- Fax
- (770) 943-6021
- NPI assigned
- May 28, 2010
- Last updated
- Mar 16, 2016
- Sex
- Male
- Sole proprietor
- No
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 | PT009925 | GA | Primary |
Addresses
Primary practice location
3827 Jimmy Lee Smith Pkwy
Suite 122
Hiram, GA 30141-2804
Mailing address
80 Technacenter Dr
Suite 300
Montgomery, AL 36117-6028
Phone (334) 625-5795
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 82.85 of 100
- Quality
- 85.59
- Improvement activities
- 40
- Cost
- 69.27
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emory Physical Therapy, LLC | Current | Accepting new patients | |
| Kennestone Hospital, Inc | Past | Accepting new patients |
Locations
21 Ortho Ln
Atlanta, GA 30329
Phone (404) 778-2516
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Atlanta, GA
- NPI 1922018423
-
dba Wellstar Kennestone Hospital Inpatient Psych Unit
- Psychiatric Hospital Unit
- Atlanta, GA
- NPI 1689361438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458086400000",
"number": "1811216955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 TECHNACENTER DR",
"address_2": "SUITE 300",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361176028",
"telephone_number": "334-625-5795",
"fax_number": "334-396-4905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3827 JIMMY LEE SMITH PKWY",
"address_2": "SUITE 122",
"city": "HIRAM",
"state": "GA",
"postal_code": "301412804",
"telephone_number": "770-943-1142",
"fax_number": "770-943-6021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAZIANO",
"first_name": "MATTHEW",
"middle_name": "J",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-28",
"last_updated": "2016-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT009925",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hiram, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.