Aaron M Gray, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT011170 Issued in GA

Practice address

810 Mayfield Rd Ste 102
Milton, GA 30009-3046

Phone

(770) 205-3939

Fax

(770) 205-4994

NPI assigned

Aug 13, 2013

Last updated

Sep 21, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sportscare Physical Therapy Inc

  • Physical Therapist
  • Suwanee, GA
  • NPI 1962459883
  NPD (past)

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1154754109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 MAYFIELD RD STE 102",
            "city": "MILTON",
            "state": "GA",
            "postal_code": "300093046",
            "telephone_number": "770-205-3939",
            "fax_number": "770-205-4994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 MAYFIELD RD STE 102",
            "city": "MILTON",
            "state": "GA",
            "postal_code": "300093046",
            "telephone_number": "770-205-3939",
            "fax_number": "770-205-4994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "AARON",
        "middle_name": "M",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-13",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "PT011170",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT011170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek Charles Gaffey, MS, ATC
• Georgia CVS Pharmacy LLC (CVS Pharmacy #17488)
• Georgia CVS Pharmacy, L.L.C. (CVS Pharmacy # 02945)
• Megan Golden, PT, DPT
• Shannon Gowland
• Jaketa Leena Groves, LPC
• Jean-Maurice Guilbaud, PHARM.D.
• Anna Haley
• Christina Halverson
• Jennifer Harmon, C.S.A.

• Physical Therapist in Milton, GA
• Providers in Milton, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.

Verify at the official NPI Registry.