Individual provider Active NPI

Angela Dawn McCray, P.T.

  • Physical Therapist
  • Leitchfield, KY
National Provider Identifier
1184776460
Registry record updated May 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
004307 Issued in KY
Practice address
42 Shelton Dr
Leitchfield, KY 42754-7563
Phone
(270) 307-4266
NPI assigned
Jan 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 004307 KY Primary

Addresses

Primary practice location

42 Shelton Dr
Leitchfield, KY 42754-7563

Mailing address

42 Shelton Dr
Leitchfield, KY 42754-7563
Phone (270) 307-4266

Other identifiers 1

IdentifierTypeStateIssuer
000000229061OtherKYBLUE CROSS

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

LicenseStateTypeSpecialty
004307KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cam Therapy Services, PSC CurrentSince May 31, 2020 Accepting new patients
Neurosurgery PSC PastSince Jan 2, 2008 Accepting new patients
A.M. Faheem, M.D., P.S.C. Past Accepting new patients
Physical Therapy Associates, Inc Physical Therapist Past Accepting new patients
Physical Therapy Associates Inc Physical Therapist Past Accepting new patients

Organizations & group practices 5

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": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590537600000",
    "number": "1184776460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 SHELTON DR",
            "city": "LEITCHFIELD",
            "state": "KY",
            "postal_code": "427547563",
            "telephone_number": "270-307-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 SHELTON DR",
            "city": "LEITCHFIELD",
            "state": "KY",
            "postal_code": "427547563",
            "telephone_number": "270-307-4266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRAY",
        "first_name": "ANGELA",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "004307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000000229061",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leitchfield, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; 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.