Gray Physical Therapy, Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT25353 Issued in FL

Legal business name

GRAY PHYSICAL THERAPY, INC

Practice address

105 Ballenisles Cir
Palm Beach Gardens, FL 33418-3822

Phone

(561) 625-2637

Fax

(561) 625-5752

NPI assigned

Oct 17, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Dewayne Gray, DPT

Title

Owner/Physical Therapist

Phone

(561) 625-2637

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350432000000",
    "number": "1134472988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 BALLENISLES CIR",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334183822",
            "telephone_number": "561-625-2637",
            "fax_number": "561-625-5752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 BALLENISLES CIR",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334183822",
            "telephone_number": "561-625-2637",
            "fax_number": "561-625-5752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAY PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-17",
        "last_updated": "2012-10-17",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "DEWAYNE",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "561-625-2637",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT25353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tye'E R Govan
• Denise Marie Grabowski
• Grace Medical Center of Florida, Inc.
• Nora Mary Grady, MSN, RN, CPNP-PC
• Stuart Malcolm Graham II, M.D.
• Vera Gumiela Gray, MMS PA-C
• Heather Nicole Green, PHARMD
• Samantha Greenberg
• Kelly Greene, NBC-HIS
• Greenlake Management, LLC

• Physical Therapy Clinic/Center in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; 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.