Camille Marie McIntosh-Gray, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT009283 Issued in GA

Practice address

1430 Five Forks Trickum Rd
Suite 210
Lawrenceville, GA 30044-8182

Phone

(678) 377-1738

NPI assigned

Jul 9, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: camille.mcintosh-grey.1@15749.direct.athenahealth.com

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.

• Meadows Hand and Physical Therapy Clinic

  dba Meadows Physical Therapy and Hand Clinic

  • Hand Physical Therapist
  • Johns Creek, GA
  • NPI 1063620037
  NPD (past)
• Activcore Health Network LLC

  dba Activcore

  • Physical Therapy Clinic/Center
  • Princeton, NJ
  • NPI 1659784767

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223942400000",
    "number": "1265695100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 MEDLOCK BRIDGE RD",
            "address_2": "SUITE 105",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300978456",
            "telephone_number": "770-623-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 FIVE FORKS TRICKUM RD",
            "address_2": "SUITE 210",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300448182",
            "telephone_number": "678-377-1738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTOSH-GRAY",
        "first_name": "CAMILLE",
        "middle_name": "MARIE",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2008-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT009283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen S McGee
• James Alexander McGhee, MD
• Shamikia McGhee, M.S, B.S
• Aloha McGregor, MA, APC, CCH
• Sarah Bell McIlvenna, LMSW
• Cindy McKee, LPC
• Jennifer Hall McKenzie, FNP-C
• Marla McKenzie
• Martha Vecker McKenzie, LCSW
• Taylor McKibbens, R.N.

• Physical Therapist in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; 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.