Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK CAVANAUGH GRAHAM, DPT
ActiveJACK CAVANAUGH GRAHAM, DPT is a Physical Therapy Assistant healthcare provider located in DANVILLE, Kentucky. NPI 1811856990 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · DANVILLE, KY
Registration Details
- NPI Number
- 1811856990
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 15, 2026 (0.57725770445047 yrs)
- Last Updated
- Jan 15, 2026
- License
-
008941 (KY)
Practice Information
- Address
-
105 CITATION DR STE BDANVILLE, KY, 404228633Browse KY providers · Browse ZIP 40422
- Phone
- 8592362193
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in DANVILLE, KY
| Name | Credential | NPI |
|---|---|---|
| DEIDRA BREITENBACH | PT | 1821089632 |
| MR. ERIK C. DRAKE | MSPT | 1932150497 |
| MS. DIANE L THOMPSON WILL | PT | 1912127119 |
| BETH VANDIVIER | PT | 1912118720 |
| MR. DAVID W. SIMMS | PT, MSPT | 1609075076 |
| MS. REGINA ANNE MOTLEY | MSPT, ATC | 1710161187 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.