Individual provider Active NPI

David W Gray, PT

  • Physical Therapist
  • Sarasota, FL
National Provider Identifier
1487660197
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT30172 Issued in FL
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, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
IV973XOtherFLMEDICARE 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

OrganizationSpecialtyStatusNew patients
Fitness Quest - Venice LLC PastSince Aug 14, 2024 Accepting new patients
Lifebridge Sports Medicine & Rehabilitation, LLC PastSince Jan 1, 2010 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.

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.

Verify at the official NPI Registry.