Active NPI
Jan Meeks Gray, DPT
- Physical Therapist
- New Bern, NC
National Provider Identifier
1497243570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2347
- Practice address
- 2701 Amhurst Blvd
New Bern, NC 28562-4294 - Phone
- (252) 633-1779
- NPI assigned
- Apr 25, 2018
- Last updated
- Apr 25, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2347 | NC | Primary |
Addresses
Primary practice location
2701 Amhurst Blvd
New Bern, NC 28562-4294
Mailing address
4508 Carteret Dr
Trent Woods, NC 28562-7209
Phone (252) 665-1212
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 |
|---|---|---|---|
| 2347 | NC | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peoplefirst Rehab | Past | Accepting new patients | |
| Rehabcare Group East, LLC | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Skilled Nursing Facility
- Grantsboro, NC
- NPI 1467610485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524614400000",
"number": "1497243570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4508 CARTERET DR",
"city": "TRENT WOODS",
"state": "NC",
"postal_code": "285627209",
"telephone_number": "252-665-1212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 AMHURST BLVD",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285624294",
"telephone_number": "252-633-1779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "JAN",
"middle_name": "MEEKS",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-25",
"last_updated": "2018-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "2347",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Bern, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.