Mark C Graves, PT
Individual provider Active NPI Physical Therapist · Lewisburg, TN
NPI 1831226489 · NPPES record last updated Jan 31, 2014
Key facts
- NPI
- 1831226489
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 8683 (TN)
- Practice address
- 870 N Ellington Pkwy
Lewisburg, TN 37091-2271 - Phone
- (931) 361-4023
- Fax
- (931) 361-4024
- NPI assigned
- Feb 28, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Results-Ast JV LLC
Practice addresses (Care Compare)
2030 Cowan Hwy
Suite 1
Winchester, TN 37398-2425
Phone (931) 968-1080
712 N Ellington Pkwy
Suite 6
Lewisburg, TN 37091-2454
Phone (931) 359-1913
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100816000625 | TN | Practitioner - Physical Therapist in Private Practice | 5890829683 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 889 | TN | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independent Physical Therapy, LLC | Physical Therapist | Current |
Accepting new patients |
| Results-Ast JV, LLC | Physical Therapist | Current |
Accepting new patients |
| Independent Physical Therapy LLC | Physical Therapist | Current |
Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923
1202 N Charles G Seivers Blvd
Ste A
Clinton, TN 37716
Phone (865) 457-0192
1420 W Baddour Pkwy
Ste 120
Lebanon, TN 37087
Phone (615) 443-9036
712 N Ellington Pkwy
Ste 6
Lewisburg, TN 37091
Phone (931) 359-1913
870 N Ellington Pkwy
Lewisburg, TN 37091
Phone (931) 361-4023
820 Scenic Hwy
Ste B
Lookout Mtn, TN 37350
Phone (423) 825-1393
8823 Production Ln
Ooltewah, TN 37363
Phone (423) 238-8923
1878 N Main St
Shelbyville, TN 37160
Phone (931) 680-9722
2030 Cowan Hwy
Ste 1
Winchester, TN 37398
Phone (931) 968-1080
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 889 | TN | |
| Physical Therapist | 225100000X | 8683 | TN | Yes |
Addresses
Primary practice location
870 N Ellington Pkwy
Lewisburg, TN 37091-2271
Mailing address
8823 Production LN
Ooltewah, TN 37363-6511
Phone (423) 238-7217
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8683 | Other | TN | PHYSICAL THERAPY LICENSE |
Other providers in Lewisburg, TN
- Rachel Garvin
- Christie Janice Goats
- Shawn Godwin
- Valerie Golden
- Raquel Maria Gonzalez
- Amanda Renee Green
- Melinda Grefseng
- Nicole Megan Grinnell
- H&S Pharmacy #2
- Erin Scharnhorst Hall
All providers in Lewisburg, TN · Physical Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.