Morten Graversen

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT299762 Issued in CA

Practice address

1850 N Riverside Ave Ste 240
Rialto, CA 92376-8082

Phone

(909) 258-2220

Fax

(909) 258-2102

NPI assigned

Jan 20, 2021

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Transit Physical Therapy PCGroup PAC ID 3274899315, 26 clinicians

West Coast Spine Restoration Center IncGroup PAC ID 7214824648, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Transit Physical Therapy PC

  • Physical Therapy Clinic/Center
  • San Bernardino, CA
  • NPI 1417485889

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• West Coast Spine Restoration Center, Inc

  • Physical Therapist
  • Riverside, CA
  • NPI 1992887616
  Medicare reassignment Care Compare group NPD
• Solano Sports Physical Therapy & Training, Inc.

  • Physical Therapy Clinic/Center
  • Vacaville, CA
  • NPI 1568150670

  Physical Therapist

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1831789296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 AVENIDA CARMEL",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923241367",
            "telephone_number": "510-364-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 N RIVERSIDE AVE STE 240",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923768082",
            "telephone_number": "909-258-2220",
            "fax_number": "909-258-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVERSEN",
        "first_name": "MORTEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-20",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT299762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Deborah Gonzalez
• Leticia Gonzalez
• Good Shepherd Residential Care, LLC
• Aleida Gordon, RD
• Noah Gordon
• Barbara Gray, DDS
• Chimere Sonje Gray
• Jacob Graybill, DPT
• Makiba Latise Green
• Maria Elizabeth Gregoria

• Physical Therapist in Rialto, CA
• Providers in Rialto, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.