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

Russell P Graham

Individual provider Physical Therapy Assistant · NPI 1164039772

Russell P Graham is a Physical Therapy Assistant in North Yarmouth, Maine. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

1500 N Rd
North Yarmouth, ME 04097
Phone: (207) 239-6625
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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

Record details

NPI number1164039772
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 28, 2020
Last updated in NPPESSeptember 28, 2020
Certification dateSeptember 27, 2020
Mailing address1500 North Road, North Yarmouth, ME 04097