Ronna R Gray, OT

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

0119001252 Issued in VA

Practice address

1102 Rose Hill Dr
Charlottesville, VA 22903-5128

Phone

(434) 979-8628

Fax

(434) 979-8536

NPI assigned

Feb 28, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Charleston Center, Inc

  • Rehabilitation Clinic/Center
  • Charlottesville, VA
  • NPI 1427150630
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386771889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 TASMANIA DR",
            "city": "FREE UNION",
            "state": "VA",
            "postal_code": "229401939",
            "telephone_number": "434-973-3835",
            "fax_number": "434-979-8536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 ROSE HILL DR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229035128",
            "telephone_number": "434-979-8628",
            "fax_number": "434-979-8536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "RONNA",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "VA",
            "license": "0119001252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH PROVIDER",
            "identifier": "189369",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "7882549",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael P Grant, M.D.
• William T Grant, M.D.
• Angela Desiree Gray, PH.D.
• Emma Gray
• Mikel Gray, N.P.
• Susan Hayden Gray, M.D.
• Ashley M Graziano, DO
• Ronald Greathead, LICAC
• Bridgid Greed
• Angela Marie Green, MA, LPC

• Pediatric Occupational Therapist in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Pediatric Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.