Individual provider Active NPI

Kelsie J Gray, DPT

  • Physical Therapist
  • Helena, MT
National Provider Identifier
1124711841
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27066 Issued in MT
Practice address
3336 N Montana Ave
Helena, MT 59602-7816
Phone
(406) 449-0654
Fax
(406) 449-0516
NPI assigned
May 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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 27066 MT Primary

Addresses

Primary practice location

3336 N Montana Ave
Helena, MT 59602-7816

Mailing address

3336 N Montana Ave
Helena, MT 59602-7816
Phone (406) 449-0654

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230629003011 MT Practitioner - Physical Therapist in Private Practice 2668831298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heuiser Physical Therapy PCGroup PAC ID 6901892231, 13 clinicians

Practice addresses (Care Compare)

3336 N Montana Ave
Helena, MT 59602-7816
Phone (406) 449-0654

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27066MTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Heuiser Physical Therapy PC Physical Therapist CurrentSince Jun 1, 2023 Accepting new patients

Locations

3336 N Montana Ave
Helena, MT 59602
Phone (406) 449-0654

Organizations & group practices 1

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": "1685404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1124711841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3336 N MONTANA AVE",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596027816",
            "telephone_number": "406-449-0654",
            "fax_number": "406-449-0516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3336 N MONTANA AVE",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596027816",
            "telephone_number": "406-449-0654",
            "fax_number": "406-449-0516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "KELSIE",
        "middle_name": "J",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-30",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "27066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; 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.