Active NPI
Jasmine Grays, DPT
- Physical Therapist
- Daytona Beach, FL
National Provider Identifier
1255010740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40336
- Practice address
- 311 N Clyde Morris Blvd Ste 50
Daytona Beach, FL 32114-2701 - Phone
- (386) 425-7800
- NPI assigned
- Jul 13, 2023
- 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 | 40336 | FL | Primary |
Addresses
Primary practice location
311 N Clyde Morris Blvd Ste 50
Daytona Beach, FL 32114-2701
Mailing address
15 Florida Park Dr N Apt 5
Palm Coast, FL 32137-3833
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 |
|---|---|---|---|
| 40336 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Halifax Hospital Medical Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Daytona Beach, FL
- NPI 1811991227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689206400000",
"number": "1255010740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 FLORIDA PARK DR N APT 5",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321373833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 N CLYDE MORRIS BLVD STE 50",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321142701",
"telephone_number": "386-425-7800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAYS",
"first_name": "JASMINE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-13",
"last_updated": "2023-07-13",
"certification_date": "2023-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "40336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.