Active NPI
Jeremy Gray
- Physical Therapist
- Shelbyville, TN
National Provider Identifier
1164532016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 845 Union St
Shelbyville, TN 37160-2607 - Phone
- (931) 685-5575
- Fax
- (931) 685-5578
- NPI assigned
- Aug 30, 2006
- 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 | Primary |
Addresses
Primary practice location
845 Union St
Shelbyville, TN 37160-2607
Mailing address
1515 Dewsbury Dr
Murfreesboro, TN 37128-2744
Phone (615) 225-8385
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5337558 | Other | TN | LICENSURE |
| PTH2797 | Other | AL | LICENSE # |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207699200000",
"number": "1164532016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 DEWSBURY DR",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371282744",
"telephone_number": "615-225-8385",
"fax_number": "931-685-5578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "845 UNION ST",
"city": "SHELBYVILLE",
"state": "TN",
"postal_code": "371602607",
"telephone_number": "931-685-5575",
"fax_number": "931-685-5578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "JEREMY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2008-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSURE",
"identifier": "5337558",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE #",
"identifier": "PTH2797",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shelbyville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.