Active NPI
Crystal Wray, DPT
- Physical Therapist
- Gardendale, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH7907
- Practice address
- 592 Fieldstown Rd
Suite # 116
Gardendale, AL 35071-3414 - Phone
- (256) 531-4567
- NPI assigned
- Jan 11, 2017
- Sex
- Female
- 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 | PTH7907 | AL | Primary |
Addresses
Primary practice location
592 Fieldstown Rd
Suite # 116
Gardendale, AL 35071-3414
Mailing address
592 Fieldstown Rd
Suite # 116
Gardendale, AL 35071-3414
Phone (256) 531-4567
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1302 2ND Ave SW
Suite F
Cullman, AL 35055-5398
Phone (256) 615-2990
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agilitas USA Inc | Physical Therapist | Current | Accepting new patients |
| Agilitas USA, Inc | Physical Therapist | Current | Accepting new patients |
Locations
1302 2nd Ave SW
#F
Cullman, AL 35055
Phone (256) 615-2990
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
4601 Whitesburg Dr SE
Ste 102
Huntsville, AL 35802
Phone (256) 883-1734
Organizations & group practices 2
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": "1484092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484092800000",
"number": "1346786563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "592 FIELDSTOWN RD",
"address_2": "SUITE # 116",
"city": "GARDENDALE",
"state": "AL",
"postal_code": "350713414",
"telephone_number": "256-531-4567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "592 FIELDSTOWN RD",
"address_2": "SUITE # 116",
"city": "GARDENDALE",
"state": "AL",
"postal_code": "350713414",
"telephone_number": "256-531-4567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRAY",
"first_name": "CRYSTAL",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-11",
"last_updated": "2017-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH7907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gardendale, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; 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.