RICKI DONNELL GRAHAM, PT — NPI 1043841810 (Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist, Geriatrics in LAFAYETTE, LA)

CMS-1500 Box 24J / 33a • NPI

1043841810

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

2251G0304X (CMS 65)

Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist, Geriatrics

Box 32 Service Location & ZIP+4

901 HUGH WALLIS RD S, LAFAYETTE, LA, 70508-2511

✓ 9-Digit EDI 837 ZIP+4 (70508-2511)

Practice Phone & Referral Fax

(866) 542-4768

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1043841810 (RICKI DONNELL GRAHAM, PT) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1043841810` (NPI-1 Individual Practitioner)
Provider / Legal Name	RICKI DONNELL GRAHAM, PT
Plain-English Specialty	Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist, Geriatrics NUCC Code: `2251G0304X` (Physical Therapist, Geriatrics)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	901 HUGH WALLIS RD S, LAFAYETTE, LA, 70508-2511
Practice Telephone / Fax	Tel: (866) 542-4768
Administrative Mailing Address	640 E EUBANK ST, MABANK, TX, 75147-7760
Enumeration & Last Sync	Enumerated: 2020-01-30 \| CMS Record Updated: 2026-09-02

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

901 HUGH WALLIS RD S, LAFAYETTE, LA, 70508-2511

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Plain-English Taxonomy & CMS Crosswalk (2251G0304X)

What Does Taxonomy Code 2251G0304X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2251G0304X translates to:
"Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist, Geriatrics"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 65 (Physical Therapist in Private Practice)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Physical Therapist, Geriatrics for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (RICKI DONNELL GRAHAM, PT)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`2251G0304X` — Physical Therapist, Geriatrics Plain English: Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist, Geriatrics	State: TX \| License: `1088854` \| Primary: Yes (Primary)

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RICKI DONNELL GRAHAM, PT (NPI #1043841810)