Wiley Grantham
NPI 1619583689 · Physical Therapy Assistant · Lake City, FL
Wiley Grantham is a Physical Therapy Assistant provider in Lake City, FL (NPI 1619583689).
Provider details
- NPI number
- 1619583689
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 26541 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-09-16
- Last updated
- 2020-09-16
- Certified
- 2020-09-10
Frequently asked questions
- What is Wiley Grantham's NPI number?
- Wiley Grantham's National Provider Identifier (NPI) is 1619583689, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Wiley Grantham's specialty?
- Wiley Grantham is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Wiley Grantham located?
- Wiley Grantham's practice location on file with NPPES is 560 Sw Mcfarlane Ave, Lake City, FL 32025-5614.
- What is Wiley Grantham's phone number?
- The practice phone number listed in the NPPES registry for Wiley Grantham is (386) 758-4777.
- Is Wiley Grantham's NPI active?
- Yes — Wiley Grantham's NPI (1619583689) is active in the NPPES registry as of the last update on 2020-09-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.