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

Heather Graham, PT

Individual provider Physical Therapist · NPI 1720415888

Heather Graham, PT is a Physical Therapist in Private Practice in Hackensack, New Jersey. Qualified in 2013, 13 years ago. Practices with Ivyrehab Network Inc, a 653-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
13
Licensed in
NJ
In the registry since
2013
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

605 Main St
Hackensack, NJ 07601
Phone: (201) 488-0488
Fax: (908) 684-3301
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40QA01511200 (NJ)

Record details

NPI number1720415888
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedOctober 3, 2013
Last updated in NPPESJuly 2, 2014
Mailing address605 Main Street, Hackensack, NJ 07601

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Ivyrehab Network Inc — 653 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Hackensack