Active NPI
Gary Michael Gray, DPT
- Physical Therapist
- Corvallis, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3992
- Practice address
- 2350 NW Century Dr
Suite 100
Corvallis, OR 97330-3495 - Phone
- (541) 754-1150
- NPI assigned
- May 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3992 | OR | Primary |
Addresses
Primary practice location
2350 NW Century Dr
Suite 100
Corvallis, OR 97330-3495
Mailing address
444 NW Elks Dr
Corvallis, OR 97330-3745
Phone (541) 754-1150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 227138 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2350 NW Century Dr
100 The Corvallis Clinic at Walnut Boulevar
Corvallis, OR 97330-3495
Phone (541) 754-1150
3680 NW Samaritan Dr
Corvallis, OR 97330-3737
Phone (541) 754-1150
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.16 of 100
- Quality
- 84.81
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.71
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3992 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Corvallis Clinic P C | Physical Therapist | Current | Accepting new patients |
| Corvallis Clinic PC | Past | Accepting new patients |
Locations
1815 14th Ave SE
Albany, OR 97322
Phone (541) 547-1369
2350 NW Century Dr
Ste 100
Corvallis, OR 97330
Phone (541) 754-1265
3680 NW Samaritan Dr
Corvallis, OR 97330
Phone (541) 754-1282
2350 NW Century Dr
Corvallis, OR 97330
Phone (541) 754-1265
444 NW Elks Dr
Corvallis, OR 97330
Phone (541) 754-1256
Interoperability endpoints
- gary.gray.1@14349.direct.athenahealth.com
- https://api.platform.athenahealth.com/14349/brand/4/csg/42/fhir/r4
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Corvallis, OR
- NPI 1649227265
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Albany, OR
- NPI 1093589798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364169600000",
"number": "1013968098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "444 NW ELKS DR",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973303745",
"telephone_number": "541-754-1150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 NW CENTURY DR",
"address_2": "SUITE 100",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973303495",
"telephone_number": "541-754-1150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "GARY",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-13",
"last_updated": "2013-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "3992",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "227138",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Corvallis, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.