Cassandra Marie Gray, DPT
Individual provider Active NPI Physical Therapist · South Range, WI
NPI 1336726165 · NPPES record last updated Mar 29, 2021
Key facts
- NPI
- 1336726165
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 14802 (WI)
- Practice address
- 8274 E San Rd
South Range, WI 54874-8621 - Phone
- (715) 398-3523
- NPI assigned
- Mar 26, 2021
- Sex
- Female
- 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 |
|---|---|---|---|
| 14802 | WI | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 14802 | WI | Yes |
Addresses
Primary practice location
8274 E San Rd
South Range, WI 54874-8621
Mailing address
PO Box 442
Cable, WI 54821-0442
Phone (715) 580-0747
Other providers in South Range, WI
- Samantha Brabender
- Nancy Cope
- Jessica Estridge
- Betsy Follis
- Taylinn Elizabeth Frana
- Kelsey C Gunderson
- Kala Marie Hanson
- Laurie Anne High
- Alicia Leigh Jensen
- Shantrice Lafave
All providers in South Range, WI · Physical Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2021. 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.