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

MS. Audrey Marie Doriman Gravador, PT

Individual provider Physical Therapist · NPI 1417707712

MS. Audrey Marie Doriman Gravador, PT is a Physical Therapist in Flushing, New York. Licensed in New York. Registered with an NPI since 2024.

Licensed in
NY
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

142-04 Bayside Ave Ste 8L
Flushing, NY 11354
Phone: (718) 445-6477
Fax: (718) 445-6933
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 04971601 (NY)

Record details

NPI number1417707712
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedMarch 27, 2024
Last updated in NPPESFebruary 7, 2025
Certification dateFebruary 7, 2025

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