Active NPI
Tammy Lynn Gray, OTR/L
- Occupational Therapist
- Alamogordo, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2333
- Practice address
- 1401 10TH St
Alamogordo, NM 88310-5012 - Phone
- (575) 437-3351
- NPI assigned
- Apr 2, 2009
- Last updated
- Apr 2, 2009
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2333 | NM | Primary |
Addresses
Primary practice location
1401 10TH St
Alamogordo, NM 88310-5012
Mailing address
PO Box 2860
Alamogordo, NM 88311-2860
Phone (575) 437-3351
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 326563 | Other | NM | MEDICARE |
| 65608739 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 W 151St St
Olathe, KS 66061-5348
Phone 91379100201018
1859 N Webb Rd
Wichita, KS 67206-3413
Phone (636) 422-1447
2300 N Tyler Rd
Wichita, KS 67205-8766
Phone (316) 260-6161
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2333 | NM | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services, Inc. | Occupational Therapist | Current | Accepting new patients |
| Legacy Healthcare Services Inc | Occupational Therapist | Current | Accepting new patients |
| Alamogordo Physical Therapy & Wellness Center, Inc | Occupational Therapist | Past | Accepting new patients |
Locations
6921 W 81st St
Overland Park, KS 66204
Phone (913) 901-8500
110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Wichita, KS
- NPI 1730636846
Occupational Therapist
-
- Physical Therapist
- Alamogordo, NM
- NPI 1043225493
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238630400000",
"number": "1366684516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2860",
"city": "ALAMOGORDO",
"state": "NM",
"postal_code": "883112860",
"telephone_number": "575-437-3351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 10TH ST",
"city": "ALAMOGORDO",
"state": "NM",
"postal_code": "883105012",
"telephone_number": "575-437-3351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "TAMMY",
"middle_name": "LYNN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-02",
"last_updated": "2009-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NM",
"license": "2333",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "326563",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "65608739",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alamogordo, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; 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.