Ryan Gray

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

295205 Issued in CA

Practice address

1250 Bellflower Blvd Kinesiology Building RM 105
Long Beach, CA 90840-0001

Phone

(562) 985-8286

NPI assigned

Sep 10, 2018

Last updated

Oct 4, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570147200000",
    "number": "1174006787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 ROSWELL AVE APT 211",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908045906",
            "telephone_number": "520-904-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 BELLFLOWER BLVD KINESIOLOGY BUILDING RM 105",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908400001",
            "telephone_number": "562-985-8286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "68 Willow Rd",
            "address_purpose": "LOCATION",
            "city": "Menlo Park",
            "state": "CA",
            "postal_code": "940253653",
            "country_code": "US",
            "telephone_number": "866-839-6979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "RYAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-10",
        "last_updated": "2019-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "295205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kandice Dominique Gray
• Larchelle Cherrice Gray
• Madeline Gray
• Robert Bruce Gray III
• Ronnae Gray
• Sydney Danielle Gray, ACSW
• Earnest Glenn Grayson
• Tyler Grayson, NP
• Gabriella Marie Graziano
• Great Life Medical PC

• Physical Therapist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; 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.