Molly Arden Gray, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT36610 Issued in FL

Practice address

728 N Ferdon Blvd Ste 3
Crestview, FL 32536-2166

Phone

(850) 682-7772

NPI assigned

Nov 26, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: molly@fyzicalnwfl.com

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

{
    "created_epoch": "1606348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606348800000",
    "number": "1346844610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 N FERDON BLVD STE 3",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325362166",
            "telephone_number": "850-682-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 N FERDON BLVD STE 3",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325362166",
            "telephone_number": "850-682-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "MOLLY",
        "middle_name": "ARDEN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-26",
        "last_updated": "2020-11-26",
        "certification_date": "2020-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT36610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Molly@fyzicalnwfl.com",
            "affiliation": "Y",
            "endpointDescription": "Secure Fyzical Email Address",
            "affiliationName": "Fyzical Therapy & Balance Centers",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "728 N Ferdon Blvd Ste 3",
            "city": "Crestview",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325362166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jensen Gramling
• Carrie Ragan Graves
• Julie Ann Gray
• Katelyn Elizabeth Gray, APRN
• Kellye D Gray, PT
• Shanderico Gray
• Great Gains Behavioral Solutions LLC
• Desiray Lavon Greer
• Laura S Griffin, LMT
• Susan Griffin, ARNP

• Physical Therapist in Crestview, FL
• Providers in Crestview, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2020; 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.