Active NPI
Carrie Bray, DPT
- Physical Therapist
- Stockton, CA
National Provider Identifier
1053681890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 38581
- Practice address
- 10200 Trinity Pkwy
Suite 205
Stockton, CA 95219-7286 - Phone
- (209) 451-3920
- Fax
- (209) 451-3902
- NPI assigned
- Jan 11, 2012
- Sex
- Female
- 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 | 38581 | CA | Primary |
Addresses
Primary practice location
10200 Trinity Pkwy
Suite 205
Stockton, CA 95219-7286
Mailing address
534 E Pine St
Suite a
Stockton, CA 95204-5536
Phone (209) 463-5800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38581 | CA | MD | Vascular Specialist/Technologist |
Practice roles
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.
-
- Physical Therapy Clinic/Center
- Stockton, CA
- NPI 1861986887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326240000000",
"number": "1053681890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "534 E PINE ST",
"address_2": "SUITE A",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952045536",
"telephone_number": "209-463-5800",
"fax_number": "209-463-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10200 TRINITY PKWY",
"address_2": "SUITE 205",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952197286",
"telephone_number": "209-451-3920",
"fax_number": "209-451-3902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAY",
"first_name": "CARRIE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-11",
"last_updated": "2012-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "38581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.