Individual provider Active NPI

Paulina Gray

  • Physical Therapist
  • Prescott, AZ
National Provider Identifier
1457928079
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
3623 Crossings Dr Ste 282
Prescott, AZ 86305-7101
Phone
(224) 436-5403
NPI assigned
Jun 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

3623 Crossings Dr Ste 282
Prescott, AZ 86305-7101

Mailing address

3623 Crossings Dr Ste 282
Prescott, AZ 86305-7101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210726000141 AZ Practitioner - Physical Therapist in Private Practice 7012310345 Reassigns benefits to 3 organizations

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
Petkov Bodywork Therapy LLCGroup PAC ID 8820428444, 13 clinicians

Practice addresses (Care Compare)

5168 W Augusta Ave
Glendale, AZ 85301-1469
Phone (651) 442-5094

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Allone Healthcare LLC CurrentSince Oct 27, 2024 Accepting new patients
Orthopedic Specialists of North America PLLC Physical Therapist CurrentSince Jul 16, 2021 Accepting new patients
Orthopedic Specialists of North America, PLLC CurrentSince Jul 16, 2021 Accepting new patients
Petkov Bodywork Therapy, LLC CurrentSince Feb 27, 2022 Accepting new patients
Ati Holdings of Arizona, LLC Physical Therapist CurrentSince Jun 15, 2021 Accepting new patients
Orthopedic Specialists of North America, PLLC Current Accepting new patients
Ideal Rehabilitation LLC PastSince Jun 15, 2021 Accepting new patients
Ortho Arizona Surgery Center Gilbert, LLC Past Accepting new patients

Locations

1485 E Florence Blvd
Ste 105
Casa Grande, AZ 85122
Phone (520) 494-3058

1675 E Melrose St
Unit 101
Gilbert, AZ 85297

6632 E Baseline Rd
Ste 102
Mesa, AZ 85206
Phone (480) 219-7519

11209 N Tatum Blvd
Ste B120
Phoenix, AZ 85028
Phone (602) 595-0204

3033 N 44th St
Ste 100
Phoenix, AZ 85018
Phone (602) 631-3161

40601 N Gantzel Rd
Ste 103
San Tan Vly, AZ 85140

5620 E Bell Rd
Scottsdale, AZ 85254
Phone (602) 485-3050

1020 S Harrison Rd
Unit 120
Tucson, AZ 85748
Phone (520) 207-6288

790 Remington Blvd
Bolingbrook, IL 60440

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1457928079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3623 CROSSINGS DR STE 282",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863057101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3623 CROSSINGS DR STE 282",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863057101",
            "telephone_number": "224-436-5403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "PAULINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-10",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.