Mason Bartley Gray, DPT, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

24095 Issued in MA

Practice address

1208B VFW Pkwy Ste 202
West Roxbury, MA 02132-4350

Phone

(617) 325-7246

NPI assigned

Apr 2, 2019

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1265994065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GERRY RD",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024673139",
            "telephone_number": "574-850-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208B VFW PKWY STE 202",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021324350",
            "telephone_number": "617-325-7246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 Pond Ave Ste 107B",
            "address_purpose": "LOCATION",
            "city": "Brookline",
            "state": "MA",
            "postal_code": "024457163",
            "country_code": "US",
            "telephone_number": "617-232-7246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "MASON",
        "middle_name": "BARTLEY",
        "name_prefix": "Dr.",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-02",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "24095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zulma Danae Gonzalez
• John Edward Gooey, M.D.
• Carrigan Fate Gould, OD
• Raj Kumar Goyal, M.D.
• Gary D Gramigna, M.S., CCC-SLP
• Jerry Greene, M.D.
• David Samuel Greenstein, O.D. , M. S.
• Beverly Fay Greenwold, M.D.
• Ashley B Griffin, MSW
• Anna Anush Grigorian, NURSE

• Physical Therapist in West Roxbury, MA
• Providers in West Roxbury, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; 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.