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

Mr. Gary Lynn Graham Jr., PTA

Individual provider Physical Therapy Assistant · NPI 1700274586

Mr. Gary Lynn Graham Jr., PTA is a Physical Therapy Assistant in Oakland, California. Practices as a sole proprietor. Licensed in California and Tennessee.

Licensed in
CA, TN
In the registry since
2015
Specialties on file
2
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

760 Canyon Oaks Dr Apt C
Oakland, CA 94605-3869
Phone: (901) 619-7031
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 9487 (CA)
Physical Therapy Assistant Taxonomy 225200000X · Licence 4821 (TN)

Record details

NPI number1700274586
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedJanuary 2, 2015
Last updated in NPPESJanuary 2, 2015

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