Christopher Graham

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

10959 Issued in LA

Practice address

132 S 6TH St
Ponchatoula, LA 70454-3317

Phone

(985) 386-6884

NPI assigned

Aug 5, 2021

Last updated

Aug 5, 2021By the provider in NPPES

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 LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Precision Physical Therapy and Sports Medicine LLCGroup PAC ID 9537552963, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Precision Physical Therapy & Sports Medicine LLC

  • Physical Therapist
  • Ponchatoula, LA
  • NPI 1508526641
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1962176644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 S 6TH ST",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704543317",
            "telephone_number": "985-386-6884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 S 6TH ST",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704543317",
            "telephone_number": "985-386-6884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "CHRISTOPHER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-05",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "LA",
            "license": "10959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steve Lawrence Gaudin, M.D.
• Douglas M George, DDS
• Endia Geter
• Kathleen Ann Glover
• Grace & Wellness Therapeutic Services
• Patricia Elaine Grant, L.M.T/M.M.P.
• Taylor Lynn Graves, LMSW
• Green Tree Pharmacies LLC (Medithrift Pharmacy)
• Catherine Ann Groeger, APRN
• Crystal Gayle Gueldner, O.D.

• Orthopedic Physical Therapist in Ponchatoula, LA
• Providers in Ponchatoula, LA by specialty
• Orthopedic Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.