Individual provider Active NPI

Graham C Gandee

  • Physical Therapist
  • Richmond, KY
National Provider Identifier
1821047903
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
004333 Issued in KY
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

Updated by the provider on Aug 14, 2012

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 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

LicenseStateTypeSpecialty
004333KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.