Active NPI
Bobby Joseph Gray
- Physical Therapist
- Oxford, MS
National Provider Identifier
1144467481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT3786
- Practice address
- 900 Sisk Ave Ste C
Oxford, MS 38655-3469 - Phone
- (662) 449-9190
- Fax
- (662) 449-9189
- NPI assigned
- Jan 8, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT3786 | MS | Primary |
Addresses
Primary practice location
900 Sisk Ave Ste C
Oxford, MS 38655-3469
Mailing address
PO Box 1016
Oxford, MS 38655-1016
Phone (662) 232-8949
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627344000000",
"number": "1144467481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1016",
"city": "OXFORD",
"state": "MS",
"postal_code": "386551016",
"telephone_number": "662-232-8949",
"fax_number": "662-232-8950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 SISK AVE STE C",
"city": "OXFORD",
"state": "MS",
"postal_code": "386553469",
"telephone_number": "662-449-9190",
"fax_number": "662-449-9189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "BOBBY",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-08",
"last_updated": "2021-07-27",
"certification_date": "2021-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "PT3786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oxford, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.