Active NPI
Bradley John Gray, MOTRL, CHT
- Hand Occupational Therapist
- Edmonds, WA
National Provider Identifier
1124232020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- OT60020246
- Practice address
- 7320 216TH St SW Ste 320
Edmonds, WA 98026-8006 - Phone
- (425) 673-3916
- Fax
- (425) 673-3926
- NPI assigned
- May 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | OT60020246 | WA | Primary |
| Occupational Therapist | 225X00000X | OT60020246 | WA |
Addresses
Primary practice location
7320 216TH St SW Ste 320
Edmonds, WA 98026-8006
Mailing address
7320 216TH St SW Ste 320
Edmonds, WA 98026-8006
Phone (425) 673-3916
Other practice location 1
6808 220th St SW Ste 200
Mountlake Terrace, WA 98043-2187
Phone (425) 673-3916
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2033397 | Medicaid | WA | |
| 332019 | Other | WA | WA LABOR & INDUSTRIES |
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 |
|---|---|---|---|
| OT60020246 | WA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640131200000",
"number": "1124232020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7320 216TH ST SW STE 320",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980268006",
"telephone_number": "425-673-3916",
"fax_number": "425-673-3926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7320 216TH ST SW STE 320",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980268006",
"telephone_number": "425-673-3916",
"fax_number": "425-673-3926"
}
],
"practiceLocations": [
{
"address_1": "6808 220th St SW Ste 200",
"address_purpose": "LOCATION",
"city": "Mountlake Terrace",
"state": "WA",
"postal_code": "980432187",
"country_code": "US",
"telephone_number": "425-673-3916",
"fax_number": "425-673-3926",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRAY",
"first_name": "BRADLEY",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "MOTRL, CHT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-09",
"last_updated": "2021-12-22",
"certification_date": "2021-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "WA",
"license": "OT60020246",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT60020246",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2033397",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA LABOR & INDUSTRIES",
"identifier": "332019",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Edmonds, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.