Amelia Anne Gray, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

301562 Issued in CA

Practice address

12250 El Camino Real Ste 190
San Diego, CA 92130-2298

Phone

(858) 793-1460

NPI assigned

Aug 12, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Breakthrough Physical Therapy Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1558598532
  NPD

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1124674742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12250 EL CAMINO REAL STE 190",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302298",
            "telephone_number": "770-328-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12250 EL CAMINO REAL STE 190",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302298",
            "telephone_number": "858-793-1460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7425 Mission Valley Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921084409",
            "country_code": "US",
            "telephone_number": "619-291-3400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "AMELIA",
        "middle_name": "ANNE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-12",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "301562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY BOARD OF CALIFORNIA",
            "identifier": "301562",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Constance Louise Gravitt, MBA
• Nathan Gravitz
• Joana Gray Sotelo, APCC
• Gray Whale Marriage and Family Therapy Prof Corp
• Donna D Gray-Grant
• Billie Gray, RN
• Edward Wyatt Gray, DDS
• Emily Kathryn Gray, M.D
• Gemma Gray, AUD
• Hildegard Miller Gray

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.