Active NPI
Patrick Donovan Graham, PT, MBA
- Physical Therapist
- Columbus, GA
National Provider Identifier
1811907348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2998
- Practice address
- 6298 Veterans Pkwy
Suite 5a
Columbus, GA 31909-6258 - Phone
- (706) 322-7762
- Fax
- (706) 660-8316
- NPI assigned
- Aug 8, 2006
- 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 | 2998 | GA | Primary |
Addresses
Primary practice location
6298 Veterans Pkwy
Suite 5a
Columbus, GA 31909-6258
Mailing address
6453 Springwater Dr
Columbus, GA 31904-2982
Phone (706) 322-7762
Other practice location 1
2140 E University Dr Ste A
Auburn, AL 36830-1852
Phone (334) 321-0601
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PTH8420 | Other | AL | ALABAMA LICENSE |
| 2998 | Other | GA | STATE LICENSE NUMBER |
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)
- Enrolled
- Credentials
- Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2998 | GA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701216000000",
"number": "1811907348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6453 SPRINGWATER DR",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319042982",
"telephone_number": "706-322-7762",
"fax_number": "706-660-8316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6298 VETERANS PKWY",
"address_2": "SUITE 5A",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319096258",
"telephone_number": "706-322-7762",
"fax_number": "706-660-8316"
}
],
"practiceLocations": [
{
"address_1": "2140 E University Dr Ste A",
"address_purpose": "LOCATION",
"city": "Auburn",
"state": "AL",
"postal_code": "368301852",
"country_code": "US",
"telephone_number": "334-321-0601",
"fax_number": "334-321-0605",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRAHAM",
"first_name": "PATRICK",
"middle_name": "DONOVAN",
"name_prefix": "Mr.",
"credential": "PT, MBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2023-11-29",
"certification_date": "2023-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "2998",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALABAMA LICENSE",
"identifier": "PTH8420",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "2998",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.