Kevon Gray, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT017232 Issued in OH

Practice address

2398 Wood Ave
Columbus, OH 43221-3520

Phone

(614) 204-6731

Fax

(614) 681-0353

NPI assigned

Apr 29, 2019

Last updated

Sep 7, 2023By 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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Gray Performance Therapy

  • Physical Therapy Clinic/Center
  • Columbus, OH
  • NPI 1073291878
  Authorized official Same address or phone
• Botkin Rehab Services LLC

  • Physical Therapist
  • Columbus, OH
  • NPI 1699384347
  NPD
• Community Rehabilitation Services,PC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Rose City, MI
  • NPI 1669424776
  NPD (past)

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

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1205490927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 PARK OVERLOOK DR",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430853661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2398 WOOD AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432213520",
            "telephone_number": "614-204-6731",
            "fax_number": "614-681-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "KEVON",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-29",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT017232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0372137",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.grayphysio.janeapp.com",
            "affiliation": "Y",
            "endpointDescription": "EMR",
            "affiliationName": "Gray Performance Therapy",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2398 Wood Ave",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432213520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• James Milton Gray II, RN BSN
• Jillian Noele Gray, D.D.S.
• Justin W Gray
• Katelyn Elizabeth Gray, DO
• Kevin Duncan Gray, MD
• Lauren Michelle Gray, NP
• Linda S Gray, M.D.
• Madison Danielle Gray, LSW
• Mary Kathleen Elizabeth Gray
• Michelle Gray, M.S.

• Physical Therapist in Columbus, OH
• Providers in Columbus, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.