Will Gray III, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT6183 Issued in MS

Practice address

6675 Old Canton Rd Apt 1077
Ridgeland, MS 39157-1332

Phone

(662) 352-9386

NPI assigned

Jul 31, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• III Gen

  • Physical Therapist
  • Clinton, MS
  • NPI 1396459418
  NPD Authorized official

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1114405263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6675 OLD CANTON RD APT 1077",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391571332",
            "telephone_number": "662-352-9386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6675 OLD CANTON RD APT 1077",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391571332",
            "telephone_number": "662-352-9386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "WILL",
        "name_suffix": "III",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-31",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT6183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Granger Jr.
• Wesley Dee Granger, M.D.
• Latasha Grant
• Katie Allison Graves, DPT
• Cozy Gray, M.ED, NCC
• Amber Green, SLP
• Amanda B Greene, DNP, NP-C
• Dellwyn Greene, OT
• Ashleigh H Greenhaw, OTR
• Misty D Greenwood, COTA

• All providers in Ridgeland, MS
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.