Individual provider Active NPI

Brittany Nicolle Gray, PT, DPT

  • Physical Therapist
  • Vero Beach, FL
National Provider Identifier
1336776707
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT36822 Issued in FL
Practice address
780 US 1 Unit 201
Vero Beach, FL 32962-1662
Phone
(772) 567-7777
NPI assigned
Mar 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT36822 FL Primary
Physical Therapist 225100000X PT014363 GA

Addresses

Primary practice location

780 US 1 Unit 201
Vero Beach, FL 32962-1662

Mailing address

780 US 1 Unit 201
Vero Beach, FL 32962-1662
Phone (772) 567-7777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230315001362 ME Practitioner - Physical Therapist in Private Practice 4587093968 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of New England, College of Osteo Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Workfitme LLCGroup PAC ID 2163806456, 3 clinicians

Practice addresses (Care Compare)

116 Bean St
Hollis Center, ME 04042-3527
Phone (207) 465-6078

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT36822FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Workfitme, LLC Physical Therapist CurrentSince Oct 1, 2024 Accepting new patients
Ted H Perkins P a CurrentSince Feb 22, 2021 Accepting new patients
Move Forward PT, LLC Physical Therapist CurrentSince Feb 1, 2023 Accepting new patients

Locations

780 US Highway 1
Unit 201
Vero Beach, FL 32962
Phone (772) 567-7777

2445 Congress St
Portland, ME 04102
Phone (207) 504-1524

747 Broadway
South Portland, ME 04106
Phone (207) 712-6869

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1336776707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 US 1 UNIT 201",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329621662",
            "telephone_number": "772-567-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 US 1 UNIT 201",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329621662",
            "telephone_number": "772-567-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "BRITTANY",
        "middle_name": "NICOLLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-25",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT36822",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT014363",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.