Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Graham Easom, PT

Individual provider Physical Therapist · NPI 1013740794

Graham Easom, PT is a Physical Therapist in Private Practice in Mansfield, Texas. Qualified in 2024, 2 years ago. Practices with Blacketer Enterprises, Inc, a 17-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
2
Licensed in
TX
In the registry since
2024
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

801 E Debbie Ln Ste 105
Mansfield, TX 76063-3185
Phone: (817) 483-1746
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1399247 (TX)

Record details

NPI number1013740794
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedAugust 20, 2024
Last updated in NPPESAugust 20, 2024
Certification dateAugust 20, 2024
Mailing address6033 W I 20, Arlington, TX 76017-1042

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Blacketer Enterprises, Inc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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