Olivia Gray, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1237545 Issued in TX

Practice address

3661 N Plano Rd # 3500
Richardson, TX 75082-2029

Phone

(469) 488-6112

NPI assigned

Sep 19, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Olivia Scozzaro Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1474243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1053869032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3661 N PLANO RD # 3500",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750822029",
            "telephone_number": "469-488-6112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3661 N PLANO RD # 3500",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750822029",
            "telephone_number": "469-488-6112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "OLIVIA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-19",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1237545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.childrens.com/",
            "affiliation": "Y",
            "affiliationName": "Children's Medical Center of Dallas",
            "address_1": "3661 N Plano Rd # 3500",
            "city": "Richardson",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750822029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "OLIVIA",
            "last_name": "SCOZZARO",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Grand Teton Diagnostics Corp
• Philip Grandjean, M.S., LPC-A
• Sara Granger
• Reese Cabot Graves, MD
• Barbara Gray
• Greater Dallas Arya Samaj Cancer Clinic
• Vladimir Alexandrovich Grebennikov, M.D.
• Courtney Green, CNIM
• David Warner Green, M.D.
• Nia Green

• Physical Therapist in Richardson, TX
• Providers in Richardson, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.