Active NPI
Patricia Tipton Bray, PT
- Physical Therapist
- Howey in the Hills, FL
National Provider Identifier
1164623120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT0004138
- Practice address
- 24037 Palm Ave
Howey in the Hills, FL 34737-3924 - Phone
- (407) 296-1000
- Fax
- (407) 253-2515
- NPI assigned
- May 29, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | PT0004138 | FL | Primary |
Addresses
Primary practice location
24037 Palm Ave
Howey in the Hills, FL 34737-3924
Mailing address
24037 Palm Ave
Howey in the Hills, FL 34737-3924
Phone (407) 296-1901
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT0004138 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164623120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24037 PALM AVE",
"city": "HOWEY IN THE HILLS",
"state": "FL",
"postal_code": "347373924",
"telephone_number": "407-296-1901",
"fax_number": "407-253-2515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24037 PALM AVE",
"city": "HOWEY IN THE HILLS",
"state": "FL",
"postal_code": "347373924",
"telephone_number": "407-296-1000",
"fax_number": "407-253-2515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAY",
"first_name": "PATRICIA",
"middle_name": "TIPTON",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT0004138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Howey in the Hills, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.