Larry E Graham Jr.

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

211236 Issued in TX

Practice address

820 Camelot Dr
Harlingen, TX 78550-8400

Phone

(956) 423-2663

NPI assigned

Jun 23, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1962798314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 JEWELL GRAHAM RD",
            "city": "PURVIS",
            "state": "MS",
            "postal_code": "394753266",
            "telephone_number": "601-550-9959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 CAMELOT DR",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508400",
            "telephone_number": "956-423-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "LARRY",
        "middle_name": "E",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-23",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA12262",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "211236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelli Goodwin, PHARMD
• Ritu Goradia, M.D.
• Jeffrey William Gosney, PHD, LCSW, ICAADC
• Cassie Anglea Gracia
• Vanessa Villegas Gracia, PTA
• Fernando Ariel Grajales
• Phillip M. Grandstaff, M.D.
• Carol Grannum, MD
• Jennifer Gray
• Rhonda Gray

• Occupational Therapy Assistant in Harlingen, TX
• Providers in Harlingen, TX by specialty
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.