EPHRAIM GRAHAM PT
NPI 1538029947
Physical Therapist in Middletown, RI

Active since November 17, 2025Accepts Medicare Assignment
1181 AQUIDNECK AVE, MIDDLETOWN, RI 02842(401) 845-0840(401) 845-0842 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ephraim Graham Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EPHRAIM GRAHAM PT (NPI 1538029947) is an individual physical therapist in Middletown, Rhode Island, licensed in Rhode Island (PT04080) and active in the NPI registry since November 2025. He is a graduate of Other (2025).

NPPES Registry Identity

NPI1538029947
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameEPHRAIM GRAHAMCredential: PT
Location Address1181 AQUIDNECK AVEMiddletown, RI 02842-5255
Mailing Address1650 Lyndon Farm Ct Ste 300Louisville, KY 40223-5005
Fax(401) 845-0842
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateNovember 17, 2025
NPPES CertifiedNovember 17, 2025
✔ NPI 1538029947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in RI · PT04080
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1181 AQUIDNECK AVE, Middletown, RI 02842

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ephraim Graham Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224521851
PECOS Enrollment IDI20251203000465

Medicare Billing Reassignment

Medicare enrollment records show Ephraim Graham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapy
1539 ATWOOD AVE STE 202
Johnston, RI 02919
  • Reassigned Medicare billing, Rhode Island enrollment
  • 100 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02842 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies
1181 AQUIDNECK AVE
MIDDLETOWN, RI 02842
Physical Therapist
1181 AQUIDNECK AVE
MIDDLETOWN, RI 02842
Physical Therapist
1181 AQUIDNECK AVE
MIDDLETOWN, RI 02842
Physical Therapist
1181 AQUIDNECK AVE, OLYMPIC PHYSICAL THERAPY
MIDDLETOWN, RI 02842
Physical Therapist
1181 AQUIDNECK AVE
MIDDLETOWN, RI 02842
Physical Therapist
1181 AQUIDNECK AVE
MIDDLETOWN, RI 02842
Physical Therapist (Orthopedic)
1181 AQUIDNECK AVE
MIDDLETOWN, RI 02842
Physical Therapist
1181 AQUIDNECK AVE, OLYMPIC PHYSICAL THERAPY
MIDDLETOWN, RI 02842

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ephraim Graham's NPI number?

The NPI number for Ephraim Graham is 1538029947. It was assigned to this individual provider in the NPPES registry on November 17, 2025.

Where is Ephraim Graham located?

Ephraim Graham practices at 1181 Aquidneck Ave, Middletown, RI 02842. The listed phone number is (401) 845-0840.

What is Ephraim Graham's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Ephraim Graham enrolled in Medicare?

Yes. Ephraim Graham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Ephraim Graham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ephraim Graham reassigns Medicare benefits to Pappas Physical Therapy LLC (Johnston, RI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ephraim Graham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ephraim Graham was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.