Ronald Gray, LPTA
Individual provider Active NPI Physical Therapy Assistant · Alturas, CA
NPI 1104371285 · NPPES record last updated Aug 18, 2016
Key facts
- NPI
- 1104371285
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- AT5744 (CA)
- Practice address
- 120 S Main St
Alturas, CA 96101-4084 - Phone
- (530) 233-7055
- Fax
- (530) 233-4513
- NPI assigned
- Aug 18, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT5744 | CA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Last Frontier Healthcare District | Past | Accepting new patients | |
| Last Frontier Healthcare District | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | AT5744 | CA | Yes |
Addresses
Primary practice location
120 S Main St
Alturas, CA 96101-4084
Mailing address
120 S Main St
Alturas, CA 96101-4084
Phone (530) 233-7055
Other providers in Alturas, CA
- Tiffany June Ford
- Jack R Futterman
- Melissa Sue Gallardo
- Barbara E Gilbertson
- Kali L Gordon
- Julia Greene
- Nathan Michael Gremillion
- Landin Paul Hagge
- Philip Harvey
- Dana Kent Hays
All providers in Alturas, CA · Physical Therapy Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.