Gray Performance Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

GRAY PERFORMANCE THERAPY

Practice address

2398 Wood Ave
Columbus, OH 43221-3520

Phone

(614) 204-6731

Fax

(614) 681-0353

NPI assigned

Jul 11, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Kevon Huston Gray, DPT

Title

Owner, Physical Therapist

Phone

(614) 204-6731

Specialties & licenses 1

Addresses

Other names 1

• Gray Performance Physio Other name

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1073291878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 PARK OVERLOOK DR",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430853661",
            "telephone_number": "614-204-6731",
            "fax_number": "614-681-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2398 WOOD AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432213520",
            "telephone_number": "614-204-6731",
            "fax_number": "614-681-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAY PERFORMANCE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-11",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "KEVON",
        "authorized_official_middle_name": "HUSTON",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "614-204-6731",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "grayphysio.janeapp.com",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2398 Wood Ave",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432213520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Gray Performance Physio",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Gray Performance Physio",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Patricia S Graves, NURSE PRACTIONER
• Sherae Graves, RN
• Sherwyn Nathaniel Graves, R.PH., MBA
• Stephen Graves, MD
• Gravity Wellness LLC
• Alyssa Marie Gray, AGACNP-BC
• Amanda Gray, LPCC
• Angela R Gray, FNP
• Anna Christine Gray, MD
• Anthea A Gray, PSYD

• Physical Therapy Clinic/Center in Columbus, OH
• Providers in Columbus, OH by specialty
• Physical Therapy Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.