Individual provider Active NPI

Graham Marshall Webb, P.T.

  • Physical Therapist
  • Merrick, NY
National Provider Identifier
1952484974
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
024574 Issued in NY
Practice address
209 Merrick Ave
Merrick, NY 11566-3125
Phone
(516) 867-0500
Fax
(516) 623-1296
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2008

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 024574 NY Primary

Addresses

Primary practice location

209 Merrick Ave
Merrick, NY 11566-3125

Mailing address

209 Merrick Ave
Merrick, NY 11566-3125
Phone (516) 867-0500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040603000053 NY Practitioner - Physical Therapist in Private Practice 9335121458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Physical Therapy PCGroup PAC ID 0446212286, 2 clinicians

Practice addresses (Care Compare)

209 Merrick Ave
Merrick, NY 11566-3125
Phone (516) 867-0500

Merit-based Incentive Payment System (MIPS)

Final score
22.88 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
76.28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
024574NYMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Physical Therapy PC Physical Therapist CurrentSince Aug 10, 2004 Accepting new patients
Connecticut Soundside Physical Therapy Homecare, PC Past Accepting new patients
Soundside Physical Therapy P.C. Physical Therapist Past Accepting new patients

Organizations & group practices 3

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212105600000",
    "number": "1952484974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 MERRICK AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663125",
            "telephone_number": "516-867-0500",
            "fax_number": "516-623-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 MERRICK AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663125",
            "telephone_number": "516-867-0500",
            "fax_number": "516-623-1296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "GRAHAM",
        "middle_name": "MARSHALL",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2008-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "024574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrick, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; 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.