Active NPI
Richard Martin Graveen, ATC
- Rehabilitation Practitioner
- Dunn, NC
National Provider Identifier
1932237583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- License
- 0588
- Practice address
- 805 Tilghman Dr Ste C
Dunn, NC 28334-5883 - Phone
- (866) 891-2677
- NPI assigned
- Mar 2, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | 0588 | NC | Primary |
Addresses
Primary practice location
805 Tilghman Dr Ste C
Dunn, NC 28334-5883
Mailing address
805 Tilghman Dr Ste C
Dunn, NC 28334-5883
Phone (866) 891-2677
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0588 | NC | MD | Rehabilitation Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932237583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 TILGHMAN DR STE C",
"city": "DUNN",
"state": "NC",
"postal_code": "283345883",
"telephone_number": "866-891-2677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 TILGHMAN DR STE C",
"city": "DUNN",
"state": "NC",
"postal_code": "283345883",
"telephone_number": "866-891-2677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAVEEN",
"first_name": "RICHARD",
"middle_name": "MARTIN",
"name_prefix": "Mr.",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "NC",
"license": "0588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dunn, NC
- Cassandra Goodenough, OTR/L
- Sri Anjali Gorle
- Goshen Medical Center Incorporated (GMC Pharmacy at Dunn)
- Goshen Medical Center, Inc (Goshen Medical Center - Dunn)
- Kathryn Gower
- Kellisha Gray, MSW, LCSW
- Patrick Hampton Gray, MD
- Greater Pathways, LLC
- Samuel Thorne Gregory Jr., DDS
- Nathalie Julienne Grippon, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.