Active NPI
Jon Gray, PT
- Physical Therapist
- Great Falls, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTP-PT-LIC-14991
- Practice address
- 1401 25TH St S
Great Falls, MT 59405-5183 - Phone
- (406) 731-8930
- Fax
- (406) 731-8935
- NPI assigned
- Jun 7, 2018
- Last updated
- Nov 14, 2025
- Sex
- Male
- 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 | PTP-PT-LIC-14991 | MT | Primary |
Addresses
Primary practice location
1401 25TH St S
Great Falls, MT 59405-5183
Mailing address
1401 25TH St S
Great Falls, MT 59405-5183
Phone (406) 731-8930
Other practice location 1
1101 26th St S
Great Falls, MT 59405-5161
Phone (406) 455-5238
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTP-PT-LIC-14991 | MT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berube Physical Therapy, Inc | Current | Accepting new patients | |
| CMSC, LLC | Current | Accepting new patients | |
| Berube Physical Therapy, Inc | Physical Therapist | Current | Accepting new patients |
Locations
1509 29th St S
Great Falls, MT 59405
Phone (406) 771-3500
3000 15th Ave S
Great Falls, MT 59405
Phone (406) 771-3102
3010 15th Ave S
Great Falls, MT 59405
Phone (406) 771-3095
120 W Idaho St
Ste A
Kalispell, MT 59901
Phone (406) 206-4264
116 Glacier Dr
Ste 102
Lolo, MT 59847
Phone (406) 926-2569
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Columbia Falls, MT
- NPI 1700325420
Physical Therapist
-
dba Great Falls Clinic Hospital
- General Acute Care Hospital
- Great Falls, MT
- NPI 1639109978
-
- Multi-Specialty Clinic/Center
- Columbia Falls, MT
- NPI 1255015921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763078400000",
"number": "1336632066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 25TH ST S",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594055183",
"telephone_number": "406-731-8930",
"fax_number": "406-731-8935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 25TH ST S",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594055183",
"telephone_number": "406-731-8930",
"fax_number": "406-731-8935"
}
],
"practiceLocations": [
{
"address_1": "1101 26th St S",
"address_purpose": "LOCATION",
"city": "Great Falls",
"state": "MT",
"postal_code": "594055161",
"country_code": "US",
"telephone_number": "406-455-5238",
"fax_number": "406-455-4591",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRAY",
"first_name": "JON",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-07",
"last_updated": "2025-11-14",
"certification_date": "2025-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MT",
"license": "PTP-PT-LIC-14991",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Falls, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.