Graphene Physical Therapy PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

GRAPHENE PHYSICAL THERAPY PLLC

Practice address

39 Broadway RM 630
New York, NY 10006-3075

Phone

(646) 588-0082

Fax

(347) 644-2747

NPI assigned

Jan 23, 2023

Organization subpart

No

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

Authorized official

Name

Di ChenNPI 1104306125

Title

Owner/Physical Therapist

Phone

(646) 588-0082

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Di Chen, MSCPT

  • Physical Therapist
  • New York, NY
  • NPI 1104306125
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1881309938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 BROADWAY RM 630",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100063075",
            "telephone_number": "646-588-0082",
            "fax_number": "347-644-2747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 BROADWAY RM 630",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100063075",
            "telephone_number": "646-588-0082",
            "fax_number": "347-644-2747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAPHENE PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "DI",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "646-588-0082"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyree Grant, LMSW
• Valerie Grant, PT
• Winsome Leonie Grant, PH.D., NP
• Leah R Granucci, CPNP
• Lee D Granum
• Bianca Gras, LMSW
• Nicole Gras, M.D.
• Espen Nicholas Grasdal
• Donald M Grasing, LCSW
• Marie Alexandrine Grassetti, RN, CPNP-PC

• Physical Therapy Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.