Active NPI
David W Gray, PT
- Physical Therapist
- Sarasota, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT30172
- Practice address
- 8588 Potter Park Dr Ste 201
Sarasota, FL 34238-5471 - Phone
- (941) 361-9020
- Fax
- (941) 361-9020
- NPI assigned
- Aug 1, 2006
- Last updated
- Mar 17, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 14893 | MD | |
| Physical Therapist | 225100000X | PT30172 | FL | Primary |
Addresses
Primary practice location
8588 Potter Park Dr Ste 201
Sarasota, FL 34238-5471
Mailing address
5345 Sundew Dr
Sarasota, FL 34238-2502
Phone (941) 361-9020
Other practice location 1
6100 Daylong Ln Ste 203
Clarksville, MD 21029-1655
Phone (410) 988-9466
Other practice location 2
6100 Daylong Ln Ste 203
Clarksville, MD 21029-1655
Phone (410) 988-9466
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IV973X | Other | FL | MEDICARE ID |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fitness Quest - Venice LLC | Past | Accepting new patients | |
| Lifebridge Sports Medicine & Rehabilitation, LLC | Past | Accepting new patients | |
| Alchemy Acupuncture Psychotherapy | Past | Accepting new patients |
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.
-
- Clinical Social Worker
- Bradenton, FL
- NPI 1972834026
-
- Durable Medical Equipment & Medical Supplies
- Longboat Key, FL
- NPI 1427936889
-
dba Lifebridge Health Physical Therapy
- Rehabilitation Clinic/Center
- Towson, MD
- NPI 1699006106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1487660197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5345 SUNDEW DR",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342382502",
"telephone_number": "941-361-9020",
"fax_number": "941-361-9020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8588 POTTER PARK DR STE 201",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342385471",
"telephone_number": "941-361-9020",
"fax_number": "941-361-9020"
}
],
"practiceLocations": [
{
"address_1": "6100 Daylong Ln Ste 203",
"address_purpose": "LOCATION",
"city": "Clarksville",
"state": "MD",
"postal_code": "210291655",
"country_code": "US",
"telephone_number": "410-988-9466",
"fax_number": "410-988-9447",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6100 Daylong Ln Ste 203",
"address_purpose": "LOCATION",
"city": "Clarksville",
"state": "MD",
"postal_code": "210291655",
"country_code": "US",
"telephone_number": "410-988-9466",
"fax_number": "410-988-9447",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRAY",
"first_name": "DAVID",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "14893",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT30172",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "IV973X",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.