Active NPI
Graham C Gandee
- Physical Therapist
- Richmond, KY
National Provider Identifier
1821047903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 004333
- Practice address
- 370 Highland Park Dr
Suite 1
Richmond, KY 40475-3546 - Phone
- (859) 623-4567
- Fax
- (888) 474-7740
- NPI assigned
- May 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 | 004333 | KY | Primary |
Addresses
Primary practice location
370 Highland Park Dr
Suite 1
Richmond, KY 40475-3546
Mailing address
370 Highland Park Dr
Suite 1
Richmond, KY 40475-3546
Phone (859) 623-4567
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004333 | KY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drayer Physical Therapy Institute LLC | Physical Therapist | Past | 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 and National Provider Directory roles.
-
- Physical Therapist
- Mt Sterling, KY
- NPI 1659333631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344902400000",
"number": "1821047903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "370 HIGHLAND PARK DR",
"address_2": "SUITE 1",
"city": "RICHMOND",
"state": "KY",
"postal_code": "404753546",
"telephone_number": "859-623-4567",
"fax_number": "888-474-7740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "370 HIGHLAND PARK DR",
"address_2": "SUITE 1",
"city": "RICHMOND",
"state": "KY",
"postal_code": "404753546",
"telephone_number": "859-623-4567",
"fax_number": "888-474-7740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANDEE",
"first_name": "GRAHAM",
"middle_name": "C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-08",
"last_updated": "2012-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "004333",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.