Daniel Gray
Individual provider Active NPI Physical Therapy Assistant · York, SC
NPI 1265091086 · NPPES record last updated Jun 10, 2019
Key facts
- NPI
- 1265091086
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 4141 (SC)
- Practice address
- 1528 Autumn Brook LN
York, SC 29745-5316 - Phone
- (803) 628-8114
- NPI assigned
- Jun 6, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4141 | SC | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 4141 | SC | Yes |
Addresses
Primary practice location
1528 Autumn Brook LN
York, SC 29745-5316
Mailing address
1528 Autumn Brook LN
York, SC 29745-5316
Other providers in York, SC
- Darlene Metcalf Gardiner
- Jaime Meredith Giannattasio
- Gir Guy LLC
- Elizabeth McElroy Girard
- Goodbridge LLC
- Lori M Gray
- Greeley Counseling Services PA
- Bryan David Greeson
- William Keith Griggs
- Guardian Health Care
All providers in York, SC · Physical Therapy Assistant in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.