Individual provider Active NPI

Jodi R Gilray, PT, DPT, C/NDT

  • Pediatric Physical Therapist
  • Prescott Valley, AZ
National Provider Identifier
1184747552
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
6784 Issued in AZ
Practice address
6550 E 2ND St Ste B
Prescott Valley, AZ 86314-3523
Phone
(928) 771-9327
Fax
(928) 771-9519
NPI assigned
Apr 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6784 AZ
Pediatric Physical Therapist 2251P0200X 6784 AZ Primary

Addresses

Primary practice location

6550 E 2ND St Ste B
Prescott Valley, AZ 86314-3523

Mailing address

6550 E 2ND St Ste B
Prescott Valley, AZ 86314-3523
Phone (928) 771-9327

Other practice location 1

3140 Clearwater Dr
Prescott, AZ 86305-7131
Phone (928) 277-4586

Other practice location 2

1675 E Cottonwood St
Cottonwood, AZ 86326-4559
Phone (928) 239-9025

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6784AZMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jodi Gilray PT PLLC Physical Therapist CurrentSince Oct 13, 2024 Accepting new patients
High Desert Physical Therapy and Sports Rehabilitation, PLLC Physical Therapist Past Accepting new patients

Locations

1675 E Cottonwood St
Cottonwood, AZ 86326
Phone (928) 239-9025

1675 E Cottonwood St
Ste C
Cottonwood, AZ 86326
Phone (928) 239-9025

3140 Clearwater Dr
Prescott, AZ 86305
Phone (928) 445-5959

6550 E 2nd St
Ste B
Prescott Valley, AZ 86314
Phone (928) 771-9327

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1184747552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 E 2ND ST STE B",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863143523",
            "telephone_number": "928-771-9327",
            "fax_number": "928-771-9519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 E 2ND ST STE B",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863143523",
            "telephone_number": "928-771-9327",
            "fax_number": "928-771-9519"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3140 Clearwater Dr",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "863057131",
            "country_code": "US",
            "telephone_number": "928-277-4586",
            "fax_number": "928-771-9519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1675 E Cottonwood St",
            "address_purpose": "LOCATION",
            "city": "Cottonwood",
            "state": "AZ",
            "postal_code": "863264559",
            "country_code": "US",
            "telephone_number": "928-239-9025",
            "fax_number": "928-771-9519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILRAY",
        "first_name": "JODI",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, C/NDT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "6784",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "AZ",
            "license": "6784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.