Active NPI
Paige Elizabeth Graziano, MPT
- Orthopedic Physical Therapist
- Novato, CA
National Provider Identifier
1972530723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT 26183
- Practice address
- 165 Rowland Way
Suite 101
Novato, CA 94945-5038 - Phone
- (415) 898-1311
- Fax
- (415) 897-0741
- NPI assigned
- Jun 27, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT 26183 | CA | Primary |
Addresses
Primary practice location
165 Rowland Way
Suite 101
Novato, CA 94945-5038
Mailing address
37 Summerhill Way
San Rafael, CA 94903-3813
Phone (415) 479-8077
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 26183 | CA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novato Back Care and Sports Physical Therapy | Orthopedic | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Orthopedic Physical Therapist
- Novato, CA
- NPI 1093945230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972530723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 SUMMERHILL WAY",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949033813",
"telephone_number": "415-479-8077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 ROWLAND WAY",
"address_2": "SUITE 101",
"city": "NOVATO",
"state": "CA",
"postal_code": "949455038",
"telephone_number": "415-898-1311",
"fax_number": "415-897-0741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAZIANO",
"first_name": "PAIGE",
"middle_name": "ELIZABETH",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "PT 26183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Novato, CA
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.