Provider Demographics
NPI:1467330654
Name:MEAGHER, GRAHAM TIMOTHY (DPT)
Entity type:Individual
Prefix:DR
First Name:GRAHAM
Middle Name:TIMOTHY
Last Name:MEAGHER
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:686 MOUNT VERNON RD
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14215-1912
Mailing Address - Country:US
Mailing Address - Phone:585-478-2455
Mailing Address - Fax:
Practice Address - Street 1:3970 HARLEM RD
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226-4739
Practice Address - Country:US
Practice Address - Phone:716-839-3705
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY054602-01225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist