Active NPI
Kelsi Rae Gray, OTR/L
- Occupational Therapist
- Merced, CA
National Provider Identifier
1447864186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 281766
- Practice address
- 632 W 13TH St
Merced, CA 95341-5908 - Phone
- (909) 285-4199
- NPI assigned
- Sep 1, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 25171 | CA | |
| Occupational Therapist | 225X00000X | 13376 | NC | |
| Occupational Therapist | 225X00000X | 281766 | KY | Primary |
Addresses
Primary practice location
632 W 13TH St
Merced, CA 95341-5908
Mailing address
672 Gettysburg Dr
Jackson, TN 38305-7879
Phone (840) 999-1594
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25171 | CA | MD | Periodontist |
| 281766 | KY | MD | Occupational Therapist |
| 13376 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769558400000",
"number": "1447864186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "672 GETTYSBURG DR",
"city": "JACKSON",
"state": "TN",
"postal_code": "383057879",
"telephone_number": "840-999-1594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "632 W 13TH ST",
"city": "MERCED",
"state": "CA",
"postal_code": "953415908",
"telephone_number": "909-285-4199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "KELSI",
"middle_name": "RAE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-01",
"last_updated": "2026-01-28",
"certification_date": "2026-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "25171",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "13376",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": "281766",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Merced, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.