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

Kevin Joseph Granger, PTA

Individual provider Physical Therapy Assistant · NPI 1023148863

Kevin Joseph Granger, PTA is a Physical Therapy Assistant in Albuquerque, New Mexico. Licensed in New Mexico. Registered with an NPI since 2007.

Licensed in
NM
In the registry since
2007
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

4308 Carlisle Blvd NE Ste 209
Albuquerque, NM 87107
Phone: (505) 828-0232
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence A-160 (NM)

Record details

NPI number1023148863
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedMarch 7, 2007
Last updated in NPPESJuly 8, 2007

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