Individual provider Active NPI

Timothy Gray, DPT

  • Physical Therapist
  • Seattle, WA
National Provider Identifier
1124707971
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1124 Columbia St Ste P100
Seattle, WA 98104-2026
Phone
(206) 466-1918
NPI assigned
Jul 17, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

1124 Columbia St Ste P100
Seattle, WA 98104-2026

Mailing address

1124 Columbia St Ste P100
Seattle, WA 98104-2026
Phone (206) 466-1918

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241118003653 WA Practitioner - Physical Therapist in Private Practice 0648705343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Bespoke Treatments Seattle PT PLLCGroup PAC ID 4880950674, 14 clinicians

Practice addresses (Care Compare)

1124 Columbia St
Suite P100
Seattle, WA 98104-2026
Phone (206) 466-1918

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bespoke Treatments Seattle PT PLLC Physical Therapist CurrentSince Sep 6, 2024 Accepting new patients
Vascular & Surgical Care Northwest, PLLC PastSince Sep 6, 2024 Accepting new patients

Locations

1124 Columbia St
Ste P100
Seattle, WA 98104
Phone (206) 466-1918

5000 30th Ave NE
Unit 102
Seattle, WA 98105
Phone (206) 466-1918

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1124707971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 COLUMBIA ST STE P100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042026",
            "telephone_number": "206-466-1918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 COLUMBIA ST STE P100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042026",
            "telephone_number": "206-466-1918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "TIMOTHY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-17",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.