DR. KYLE GRAVES (NPI# 1689145484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689145484 |
| Entity Type | Individual |
| Full Name | DR. KYLE GRAVES |
| Credential | PT, DPT |
| Practice Address |
1211 S Douglas Hwy Ste 100 Gillette WY 82716-4982 |
| Practice Telephone | 3076709191 |
| Mailing Telephone | 3076709191 |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2019-04-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
1774 | WY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699269365 | Kyle Murphy Graves | Physical Therapist | 19785 Crystal Rock Dr Ste 311, Germantown, MD 20874 | 2018-06-18 |
| Street Address |
1211 S DOUGLAS HWY STE 100 |
| City | GILLETTE |
| State | WY |
| Zip Code | 82716-4982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144483330 | Anni Jean Stafford | Occupational Therapist | 1211 S Douglas Hwy Ste 100, Gillette, WY 82716-4982 | 2008-07-08 |
| 1326652041 | Ragen Wilson | Physical Therapist | 1211 S Douglas Hwy Ste 100, Gillette, WY 82716-4982 | 2020-09-01 |
| 1235756776 | Alisha Roberts | Occupational Therapist | 1211 S Douglas Hwy Ste 100, Gillette, WY 82716-4982 | 2020-07-01 |
| 1629534102 | Laura L Roush | Occupational Therapist | 1211 S Douglas Hwy Ste 100, Gillette, WY 82716-4982 | 2019-02-20 |
| 1164948071 | Shayna Rae Carpenter | Occupational Therapist | 1211 S Douglas Hwy Ste 100, Gillette, WY 82716-4982 | 2017-08-22 |
| 1578092565 | Matthew Jay Fuhr | Physical Therapist | 1211 S Douglas Hwy Ste 100, Gillette, WY 82716 | 2017-06-05 |
| 1487063871 | Sara Lutz | Occupational Therapist | 1211 S Douglas Hwy Ste 100, Gillette, WY 82716-4982 | 2014-08-11 |
| 1760795843 | Brandy Michelle Johnson | Physical Therapist | 1211 S Douglas Hwy Ste 100, Gillette, WY 82716 | 2010-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053822387 | Diana Lynn Ohman | Dietitian, Registered | 709 West Eighth Street, Suite 4, Gillette, WY 82716 | 2017-10-13 |
| 1821457821 | Courage To Change Counseling LLC | Community/Behavioral Health | 113 S. Gillette Ave, Gillette, WY 82716 | 2016-02-18 |
| 1003290594 | Kris Huber | Community/Behavioral Health | 905 Gurley Ave, Gillette, WY 82716 | 2015-07-14 |
| 1649516857 | Shirley L Haley | Nurse Practitioner | 1304 West 4th Street, Gillette, WY 82716 | 2012-12-14 |
| 1174867188 | Rebecca J Mader | Registered Nurse | 501 South Burma Ave., Gillette, WY 82716 | 2012-11-15 |
| 1568728228 | Kerry Elizabeth Warner | Registered Nurse | 201 S Burma Ave, Gillette, WY 82716 | 2012-04-07 |
| 1720363351 | Julie Ann Faldalen | Licensed Practical Nurse | 501 South Burma, Gillette, WY 82716 | 2011-10-14 |
| 1083937486 | Clear Creek Counseling LLC | Counselor | 801 E. 4th St., Suite 24, Gillette, WY 82716 | 2010-03-12 |
| 1821241423 | Dianna L Knox | Counselor | 500 S Burma Ave, Gillette, WY 82716 | 2008-10-28 |
| 1588826887 | Scott R Hunter | Chiropractor | 439 Prairie View Place Ste D, Dr S R Hunter, Gillette, WY 82716 | 2008-06-27 |
| Find all providers in zip 82716 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053806703 | Andrew Nielsen | Physical Therapist | 1103 E Boxelder Rd Ste U, Gillette, WY 82718 | 2018-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073120358 | Forge Physio and Performance LLC | Physical Therapist | 1095 Broadway St, Sheridan, WY 82801-3054 | 2020-09-30 |
| 1578121588 | Nina Clark Lex | Physical Therapist | 1230 N Fall Creek Rd, Wilson, WY 83014 | 2019-06-04 |
| 1043878408 | Cossette Burnham | Physical Therapist | Four Pines Physical Therapy, 1090 S Hwy 89, Jackson, WY 83001 | 2019-05-31 |
| 1386000727 | Taylor Lindsey | Physical Therapist | 1090 S Us Hwy 89, Jackson, WY 83001 | 2016-01-14 |
| 1144579731 | Move On Physical Therapy, Inc. | Physical Therapist | 1201 E. 7th Street, Powell, WY 82435 | 2012-08-29 |
| 1588744049 | Celeste Scheer | Physical Therapist | 800 E 20th St Ste 300, Cheyenne, WY 82001-3882 | 2006-10-17 |
| 1538274113 | Daniel E Fox | Physical Therapist | 4028 Laramie St, Cheyenne, WY 82001-2064 | 2006-08-21 |
| 1336151265 | Wyoming Specialized Physical Therapy | Physical Therapist | 620 West Cheyenne Dr., Evanston, WY 82930-5359 | 2006-08-12 |
| 1386286433 | Andrea Williams | Physical Therapist | 214 E 23rd St, Cheyenne, WY 82001-3748 | 2019-10-10 |
| 1639658990 | George Douglas Hayden IIi | Physical Therapist | 555 E Broadway Ave # 100, Jackson, WY 83001-8640 | 2018-08-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.