Individual provider Active NPI

Mariah Lashae Gray, DPT, PT

  • Physical Therapist
  • Centreville, VA
National Provider Identifier
1346993201
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP055158T Issued in VA
Practice address
5900 Fort Dr Ste 208
Centreville, VA 20121-2425
Phone
(703) 830-6360
Fax
(703) 830-6362
NPI assigned
Feb 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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 CP055158T VA Primary
Physical Therapist 225100000X 28794 MD

Addresses

Primary practice location

5900 Fort Dr Ste 208
Centreville, VA 20121-2425

Mailing address

12701 Fair Lakes Cir Ste 102
Fairfax, VA 22033-4913
Phone (703) 830-6360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, TX, MD, DC, VA5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20220308000070 TN Practitioner - Physical Therapist in Private Practice 6608260609 Reassigns benefits to 1 organization
I20231003002017 TX Practitioner - Physical Therapist in Private Practice 6608260609 Reassigns benefits to 1 organization
I20250414002451 MD Practitioner - Physical Therapist in Private Practice 6608260609 Reassigns benefits to 1 organization
I20250414002596 DC Practitioner - Physical Therapist in Private Practice 6608260609 Reassigns benefits to 2 organizations
I20260423001274 VA Practitioner - Physical Therapist in Private Practice 6608260609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LHMG Physical Therapy, LLCGroup PAC ID 3870893738, 101 clinicians
Jackson Clinics Limited PartnershipGroup PAC ID 2860623295, 116 clinicians

Practice addresses (Care Compare)

1630 Main St
Suite 109
Chester, MD 21619-2792
Phone (410) 268-8862

43490 Yukon Dr
Ashburn, VA 20147-6990
Phone (703) 729-7920

5900 Fort Dr
Suite 208
Centreville, VA 20121-2425
Phone (703) 830-6360

8109 Ritchie Hwy
Suite 600
Pasadena, MD 21122-6905
Phone (410) 553-3515

Merit-based Incentive Payment System (MIPS)

Final score
85.56 of 100Reported as group
Quality
89.48
Improvement activities
40
Cost
71.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28794MDMDPharmacist
CP055158TVAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
LHMG Physical Therapy, LLC Physical Therapist Current Accepting new patients
Ideal Physical Therapy of Texas LLC Physical Therapist CurrentSince Aug 28, 2023 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Apr 7, 2025 Accepting new patients
Ideal Physical Therapy of Texas LLC CurrentSince Aug 28, 2023 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Apr 7, 2025 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Apr 7, 2025 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist Current Accepting new patients
Independent Physical Therapy, LLC Physical Therapist CurrentSince Feb 14, 2022 Accepting new patients
Jackson Clinics Limited Partnership Physical Therapist CurrentSince Sep 14, 2025 Accepting new patients
Theraphysics Partners of Colorado Inc Past Accepting new patients
Theraphysics Partners of Colorado, Inc. Past Accepting new patients
Select Physical Therapy Holdings Inc Physical Therapist Past Accepting new patients
Select Physical Therapy of Denver LTD Physical Therapist Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

790 Remington Blvd
Bolingbrook, IL 60440

2000 Medical Pkwy
Ste 409
Annapolis, MD 21401
Phone (443) 481-5136

6836 Race Track Rd
Bowie, MD 20715
Phone (301) 805-7004

4175 N Hanson Ct
Ste 301
Bowie, MD 20716
Phone (301) 805-0190

1630 Main St
Ste 109
Chester, MD 21619
Phone (410) 604-2424

28438 Marlboro Ave
Easton, MD 21601
Phone (410) 820-7270

8638 Veterans Hwy
Fl 1
Millersville, MD 21108
Phone (410) 729-4508

8109 Ritchie Hwy
Ste 600
Pasadena, MD 21122
Phone (410) 553-3515

311 Congress Pkwy N
Ste 800
Athens, TN 37303
Phone (423) 744-0890

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

1202 N Charles G Seivers Blvd
Ste A
Clinton, TN 37716
Phone (865) 457-0192

878 Highway 411 N
Etowah, TN 37331
Phone (423) 263-7070

17051 Dallas Pkwy
Ste 450
Addison, TX 75001
Phone (214) 272-8561

4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325

1050 Flower Mound Rd
Ste 140
Flower Mound, TX 75028
Phone (469) 702-5947

2600 W 7th St
Ste 137
Fort Worth, TX 76107
Phone (682) 233-6462

5121 Rufe Snow Dr
Ste 110
North Richland Hills, TX 76180
Phone (817) 345-4367

43490 Yukon Dr
Ashburn, VA 20147
Phone (703) 729-7920

5900 Fort Dr
Ste 208
Centreville, VA 20121
Phone (703) 830-6360

12701 Fair Lakes Cir
Ste 102
Fairfax, VA 22033

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1346993201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12701 FAIR LAKES CIR STE 102",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220334913",
            "telephone_number": "703-830-6360",
            "fax_number": "703-830-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 FORT DR STE 208",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212425",
            "telephone_number": "703-830-6360",
            "fax_number": "703-830-6362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "MARIAH",
        "middle_name": "LASHAE",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-01",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "CP055158T",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "28794",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centreville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; 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.