Individual provider Active NPI

Michael L Ray, PTA

  • Physical Therapy Assistant
  • Jeffersonville, IN
National Provider Identifier
1467028282
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
06001833A Issued in IN
Practice address
4812 Hamburg Pike
Jeffersonville, IN 47130-9209
Phone
(812) 282-4257
Fax
(812) 288-1161
NPI assigned
Jun 2, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A01317 KY
Physical Therapy Assistant 225200000X 06001833A IN Primary

Addresses

Primary practice location

4812 Hamburg Pike
Jeffersonville, IN 47130-9209

Mailing address

9514 Stonelanding PL
Louisville, KY 40272-7201
Phone (502) 424-2151

Other practice location 1

4402 Churchman Ave Ste 106
Louisville, KY 40215-1192
Phone (502) 363-7800

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

LicenseStateTypeSpecialty
06001833AINMDPhysical Therapy Assistant
A01317KYMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Hospital & St. Mary'S Healthcare, Inc. Past Accepting new patients
Uofl Health-Louisville Inc PastSince Mar 22, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1467028282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9514 STONELANDING PL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402727201",
            "telephone_number": "502-424-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4812 HAMBURG PIKE",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471309209",
            "telephone_number": "812-282-4257",
            "fax_number": "812-288-1161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4402 Churchman Ave Ste 106",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402151192",
            "country_code": "US",
            "telephone_number": "502-363-7800",
            "fax_number": "502-363-7848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAY",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-02",
        "last_updated": "2021-06-02",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KY",
            "license": "A01317",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IN",
            "license": "06001833A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; 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.