Active NPI
Ellen Melinda Cole Gray, PT
- Physical Therapist
- Waco, TX
National Provider Identifier
1245248806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1009595
- Practice address
- 3810 Martin Luther King Jr. Blvd
Waco, TX 76708-5101 - Phone
- (254) 714-2222
- NPI assigned
- Aug 3, 2006
- 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 | 1009595 | TX | Primary |
Addresses
Primary practice location
3810 Martin Luther King Jr. Blvd
Waco, TX 76708-5101
Mailing address
2222 Sullivan TRL
Easton, PA 18040-7958
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474329600000",
"number": "1245248806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2222 SULLIVAN TRL",
"city": "EASTON",
"state": "PA",
"postal_code": "180407958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3810 MARTIN LUTHER KING JR. BLVD",
"city": "WACO",
"state": "TX",
"postal_code": "767085101",
"telephone_number": "254-714-2222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLE GRAY",
"first_name": "ELLEN",
"middle_name": "MELINDA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-03",
"last_updated": "2016-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1009595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.