MEDICARE: MARY ANN GRAHAM THRIFT MSPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT18757	FL

General Provider Information

NPI Number	:	1457334146
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY ANN GRAHAM THRIFT MSPT

Provider Business Mailing Address
First Line	:	12040 SOUTH JOG ROAD
Second Line	:	SUITE 8
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33437-8282
Country	:	US
Telephone Number	:	305-331-4922
Fax Number	:	305-331-4922

Provider Business Practice Location Address
First Line	:	12040 S JOG RD
Second Line	:	SUITE 8
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33437-4164
Country	:	US
Telephone Number	:	305-331-4922
Fax Number	:	954-272-0554

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/28/2005
Last Update Date	:	05/05/2011

Similar Medicare Providers

1487228573 — LYDIA ARMAND OTD, OTR/L
Practice Location Address:

12040 S JOG RD
BOYNTON BEACH, FL
33437-4164

Practice Phone: 561-733-5083
Practice Fax:

1609841857 — DR. ELAN SALEE D.M.D.
Practice Location Address:

12040 S JOG RD , SUITE 5
BOYNTON BEACH, FL
33437-4164

Practice Phone: 561-732-8700
Practice Fax:

1346278256 — DR. WAYNE CURTIS BARISH M.D.
Practice Location Address:

12040 S JOG RD STE 3
BOYNTON BEACH, FL
33437-4164

Practice Phone: 561-752-4334
Practice Fax: 561-752-8488

1013105196 — FLORIDA MOVEMENT THERAPY CENTER-BOYNTON BEACH INC
Practice Location Address:

12040 S JOG RD , SUITE 8
BOYNTON BEACH, FL
33437-4164

Practice Phone: 561-733-5083
Practice Fax:

1881877348 — EDWARD GRAY OTR/L
Practice Location Address:

12040 S JOG RD , SUITE 8
BOYNTON BEACH, FL
33437-4164

Practice Phone: 561-733-5083
Practice Fax:

1427231984 — JODI GRAY PT
Practice Location Address:

12040 S JOG RD , SUITE 8
BOYNTON BEACH, FL
33437-4164

Practice Phone: 561-733-5083
Practice Fax:

Directions to “ MARY ANN GRAHAM THRIFT MSPT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.