Grayson Wickham, in New York, NY - Physical Therapist

Grayson Wickham, is a Physical Therapist based in New York, New York. Grayson Wickham is licensed to practice in New York (license number 039473) and his current practice location is 667 Madison Ave, New York, New York. He can be reached at his office (for appointments etc.) via phone at (877) 474-5280.

NPI number for Grayson Wickham is 1003285693 and his current mailing address is 2102 81st St, East Elmhurst, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003285693.

Contact Information

	Grayson Wickham,
	667 Madison Ave, New York, NY 10065-8029
	(877) 474-5280
	Not Available

Healthcare Provider's Profile

Full Name	Grayson Wickham
Gender	Male
Speciality	Physical Therapist
Location	667 Madison Ave, New York, New York
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1003285693
Provider Enumeration Date: 09/24/2015
Last Update Date: 09/24/2015

Medical Identifiers

Medical identifiers for Grayson Wickham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003285693	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	039473 (New York)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Grayson Wickham is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Grayson Wickham, 2102 81st St, East Elmhurst, NY 11370-1321 Ph: () -	Grayson Wickham, 667 Madison Ave, New York, NY 10065-8029 Ph: (877) 474-5280

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Physical Therapist in New York, NY

Wilbert Lao, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 37 W 26th St, Suite 302, New York, NY 10010 Phone: 718-285-0588 Fax: 718-285-9323
Elisabeth Anne Frank, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 501 5th Ave, 22nd Floor, New York, NY 10017 Phone: 404-849-5770
Ryanne Tanae Glasper, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 230 W 38th St Fl 18, New York, NY 10018 Phone: 212-997-7490 Fax: 212-007-7492
Miss Shari Ilise Nadel, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 147 W 35th St, Suite 407, New York, NY 10001 Phone: 917-591-8494
Katherine Spencer, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 201 W 108th St Apt 41, New York, NY 10025 Phone: 585-737-2360
Kunjan Shah, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 675 3rd Ave, 5th Floor, New York, NY 10017 Phone: 212-204-5144
Mr. Ramoncito Tiosejo Dizon, RPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1615 Madison Ave, New York, NY 10029 Phone: 212-860-5803 Fax: 212-860-6095

Grayson Wickham, - Physical Therapist in New York, NY