Active NPI
Debra Kray, PT
- Pediatric Physical Therapist
- Los Angeles, CA
National Provider Identifier
1174827778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- PT13481
- Practice address
- 11110 Ohio Ave Ste 206
Los Angeles, CA 90025-6349 - Phone
- (310) 444-8812
- Fax
- (310) 444-8813
- NPI assigned
- Dec 22, 2010
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | PT13481 | CA | Primary |
Addresses
Primary practice location
11110 Ohio Ave Ste 206
Los Angeles, CA 90025-6349
Mailing address
PO Box 83694
Los Angeles, CA 90083-0694
Phone (310) 908-9226
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 |
|---|---|---|---|
| PT13481 | CA | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292976000000",
"number": "1174827778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 83694",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900830694",
"telephone_number": "310-908-9226",
"fax_number": "310-444-8813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11110 OHIO AVE STE 206",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900256349",
"telephone_number": "310-444-8812",
"fax_number": "310-444-8813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAY",
"first_name": "DEBRA",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-22",
"last_updated": "2010-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "CA",
"license": "PT13481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.