Individual provider Active NPI

Kristian K Graham, PT

  • Orthopedic Physical Therapist
  • Westerville, OH
National Provider Identifier
1982684387
Registry record updated Jan 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT10548 Issued in OH
Practice address
70 S Cleveland Ave
Westerville, OH 43081-1329
Phone
(614) 890-6555
Fax
(614) 823-8881
NPI assigned
Jan 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT10548 OH Primary

Addresses

Primary practice location

70 S Cleveland Ave
Westerville, OH 43081-1329

Mailing address

70 S Cleveland Ave
Westerville, OH 43081-1329
Phone (614) 890-6555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050202000197 OH Practitioner - Physical Therapist in Private Practice 7517918014 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beacon Orthopaedics and Sports Medicine LTDGroup PAC ID 0345136412, 471 clinicians

Practice addresses (Care Compare)

5040 Forest Dr
New Albany, OH 43054-8167
Phone (614) 890-6555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT10548OHMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Orthopaedics & Sports Medicine LTD CurrentSince Aug 1, 2022 Accepting new patients
Orthopedic & Neurological Consultants, Inc. CurrentSince Jan 3, 2005 Accepting new patients
Beacon Orthopaedics & Sports Medicine, LTD CurrentSince Aug 1, 2022 Accepting new patients
Orthopedic & Neurological Consultants, Inc CurrentSince Jan 3, 2005 Accepting new patients

Locations

6480 Harrison Ave
Cincinnati, OH 45247
Phone (513) 251-7827

L 3973
Columbus, OH 43260

1313 Olentangy River Rd
Columbus, OH 43212
Phone (614) 221-3725

7450 Hospital Dr
Ste 350
Dublin, OH 43016
Phone (614) 268-2323

6785 Bobcat Way
Ste 300
Dublin, OH 43016

2750 Newark Granville Rd
Granville, OH 43023
Phone (740) 788-9220

5040 Forest Dr
New Albany, OH 43054
Phone (614) 546-4300

5040 Forest Dr
Ste 300
New Albany, OH 43054
Phone (614) 839-2128

1240 Hill Rd N
Pickerington, OH 43147
Phone (614) 839-2115

70 S Cleveland Ave
Westerville, OH 43081
Phone (614) 839-2115

2854 Bell St
Zanesville, OH 43701
Phone (740) 454-3273

Interoperability endpoints

  • Direct secure messaging: kristian.graham.p1@direct.beaconortho.nextgenshare.com

Organizations & group practices 4

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": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389916800000",
    "number": "1982684387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 S CLEVELAND AVE",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430811329",
            "telephone_number": "614-890-6555",
            "fax_number": "614-823-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 S CLEVELAND AVE",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430811329",
            "telephone_number": "614-890-6555",
            "fax_number": "614-823-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "KRISTIAN",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2014-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OH",
            "license": "PT10548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2014; 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.