Lenna Christine Gray, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

8181A Issued in AZ

Practice address

5263 W Cortez St
Glendale, AZ 85304-3417

Phone

(602) 677-7904

NPI assigned

Mar 5, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Lenna Christine Gray Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330905600000",
    "number": "1174897490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5263 W CORTEZ ST",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853043417",
            "telephone_number": "602-677-7904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5263 W CORTEZ ST",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853043417",
            "telephone_number": "602-677-7904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "LENNA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-05",
        "last_updated": "2012-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AZ",
            "license": "8181A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LENNA",
            "last_name": "GRAY",
            "middle_name": "CHRISTINE",
            "prefix": "MS.",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Grateful and Beyond Recovery Homes LLC
• Katheryn Elizabeth Graves
• Shitice Graves
• Bartu C Gray
• Kellie M Gray, D.C.
• Natasha Gray, DNP
• Rebecca Gray
• Wanda Lue Gray, CCC-S
• Greater Phoenix Emergency Physicians Inc
• Aaron L Greeley, DO

• Physical Therapy Assistant in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Physical Therapy Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; 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.