MR. KRISTIAN K GRAHAM PT
NPI 1982684387
Physical Therapist - Orthopedic in Westerville, OH

NPI Status: Active since January 20, 2006

Contact Information

70 S CLEVELAND AVE
WESTERVILLE, OH
ZIP 43081
Phone: (614) 890-6555
Fax: (614) 823-8881

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  • Individual
  • Male
  • Years of Experience 23
  • Physical Therapist
  • Orthopedic
  • Accepts Insurance
  • Accepts Medicare Approved Payment

About KRISTIAN GRAHAM

This page provides the complete NPI Profile along with additional information for Kristian Graham, a provider established in Westerville, Ohio with a medical specialization in Physical Therapist, focusing in orthopedic and more than 23 years of experience. The healthcare provider is registered in the NPI registry with number 1982684387 assigned on January 2006. The practitioner's primary taxonomy code is 2251X0800X with license number PT10548 (OH). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI
1982684387
Provider Name
MR. KRISTIAN K GRAHAM PT
Gender
Male
Entity Type
Individual
Location Address
70 S CLEVELAND AVE WESTERVILLE, OH 43081
Location Phone
(614) 890-6555
Location Fax
(614) 823-8881
Mailing Address
70 S CLEVELAND AVE WESTERVILLE, OH 43081
Mailing Phone
(614) 890-6555
Mailing Fax
(614) 823-8881
Medical School Name
OTHER
Graduation Year
2003
Is Sole Proprietor?
No
Enumeration Date
01-20-2006
Last Update Date
01-17-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapist Orthopedic

Taxonomy Code
2251X0800X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
PT10548
License State
OH
Taxonomy Description
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 7500 $25 Generic Drugs - HMO
  • Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Core Gold 1500 $10 Generic Drugs - HMO
  • Core Gold 1500 $10 Generic Drugs + Adult Vision & Fitness - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Gold 2000 $15 Generic Drugs - HMO
  • Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Chronic Care Drugs - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Low Premium Silver 6200 $3 Generic Drugs - HMO
  • Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness - HMO
  • Silver 6000 $20 Generic Drugs - HMO
  • Bronze $8,300 w/ Adult Dental ON-EX - HMO
  • Bronze $8,300 w/ Virtual & Wellness ON-EX - HMO
  • Bronze HSA $7,300 ON-EX - HMO
  • Bronze Standard w/ Virtual & Wellness - HMO
  • Gold $1,000 w/ Adult Dental ON-EX - HMO
  • Gold $1,000 w/ Virtual & Wellness ON-EX - HMO
  • Gold $500 w/ Virtual & Wellness ON-EX - HMO
  • Gold Standard w/ Virtual & Wellness - HMO
  • Silver $5,000 w/ Adult Dental ON-EX - HMO
  • Silver $5,000 w/ Virtual & Wellness ON-EX - HMO
  • Silver $5,800 w/ Virtual & Wellness ON-EX - HMO
  • Silver Standard w/ Virtual & Wellness - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
GR4150622MEDICARE ID-TYPE UNSPECIFIED (04)OH 

Medicare Participation & PECOS Enrollment Status

Kristian Graham is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 7517918014

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20050202000197

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Application of blood vessel compression device

A blood vessel compression device is applied to control bleeding and promote clotting after a procedure. This device applies pressure to your blood vessels, reducing the chance of excessive bleeding. It's a safe, standard part of many medical procedures.

This service was performed 237 times for 43 patients

Evaluation for physical therapy, typically 20 minutes

An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.

This service was performed 83 times for 78 patients

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes

This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.

This service was performed 370 times for 99 patients

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

This service was performed 980 times for 136 patients

Therapy procedure using functional activities

A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.

This service was performed 446 times for 95 patients

Therapy procedure using manual technique, each 15 minutes

This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.

This service was performed 422 times for 67 patients

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1982684387, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
2
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
8
Unchanged
Pos 7
4
Doubled → 8
Pos 8
3
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 6 → 12 → 3 4 → 8 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 6 + 2 + 1 + 2 + 8 + 8 + 3 + 1 + 6 + 24 = 73

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 73 is 80. The difference is the calculated check digit.

80 - 73 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1982684387.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physical Therapist (Orthopedic)
70 S CLEVELAND AVE
WESTERVILLE, OH 43081
Physical Therapist (Orthopedic)
70 S CLEVELAND AVE
WESTERVILLE, OH 43081
Physical Medicine & Rehabilitation (Sports Medicine)
70 S CLEVELAND AVE
WESTERVILLE, OH 43081
Specialist/Technologist (Athletic Trainer)
70 S CLEVELAND AVE
WESTERVILLE, OH 43081
Physician Assistant (Surgical)
70 S CLEVELAND AVE
WESTERVILLE, OH 43081
Occupational Therapist (Hand)
70 S CLEVELAND AVE
WESTERVILLE, OH 43081
Durable Medical Equipment & Medical Supplies
70 S CLEVELAND AVE
WESTERVILLE, OH 43081
Physical Therapist (Orthopedic)
70 S CLEVELAND AVE
WESTERVILLE, OH 43081
Specialist/Technologist (Athletic Trainer)
70 S CLEVELAND AVE
WESTERVILLE, OH 43081
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
70 S CLEVELAND AVE
WESTERVILLE, OH 43081
Surgery (Surgery of the Hand)
70 S CLEVELAND AVE
WESTERVILLE, OH 43081
Neurological Surgery
70 S CLEVELAND AVE
WESTERVILLE, OH 43081
Orthopaedic Surgery (Foot and Ankle Surgery)
70 S CLEVELAND AVE
WESTERVILLE, OH 43081
Physical Therapist
70 S CLEVELAND AVE
WESTERVILLE, OH 43081
Orthopaedic Surgery
70 S CLEVELAND AVE
WESTERVILLE, OH 43081
Orthopaedic Surgery
70 S CLEVELAND AVE
WESTERVILLE, OH 43081
Occupational Therapist
70 S CLEVELAND AVE
WESTERVILLE, OH 43081
Physician Assistant
70 S CLEVELAND AVE
WESTERVILLE, OH 43081
Orthopaedic Surgery
70 S CLEVELAND AVE
WESTERVILLE, OH 43081
Physical Therapy Assistant
70 S CLEVELAND AVE
WESTERVILLE, OH 43081

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1982684387, enumerated as an "individual" on January 20, 2006.

The provider is located at 70 S CLEVELAND AVE WESTERVILLE, OH 43081 and the phone number is (614) 890-6555.

Physical Therapist with taxonomy code 2251X0800X and a focus in Orthopedic.

The provider might be accepting Accepts: CareSource, MedMutual, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.