Active NPI
Rosa Grayer, PT, DPT
- Physical Therapist
- Hampton, VA
National Provider Identifier
1235610437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305212471
- Practice address
- 108 Brogden CT
Hampton, VA 23666-1958 - Phone
- (850) 830-0990
- NPI assigned
- Aug 25, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305212471 | VA | Primary |
Addresses
Primary practice location
108 Brogden CT
Hampton, VA 23666-1958
Mailing address
108 Brogden CT
Hampton, VA 23666-1958
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 |
|---|---|---|---|
| 2305212471 | VA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618099200000",
"number": "1235610437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 BROGDEN CT",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236661958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 BROGDEN CT",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236661958",
"telephone_number": "850-830-0990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAYER",
"first_name": "ROSA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-25",
"last_updated": "2021-04-11",
"certification_date": "2021-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305212471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hampton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.