Dalton Michael Gray

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

002914 Issued in WV

Practice address

1390 N Poplar Fork Rd
Hurricane, WV 25526-7112

Phone

(304) 757-7826

NPI assigned

Aug 3, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1497437065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6741 COUNTRY CLUB DR",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257052051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 N POPLAR FORK RD",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255267112",
            "telephone_number": "304-757-7826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "DALTON",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WV",
            "license": "002914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda M Goad, LPC
• Amanda Gollihue
• Christine M Gorby, PT, DPT, SCS, ATC
• Charles Robert Gordon, M.S., ATC, C.S.C.S
• Brian Michael Gray, PHARMD
• Kara Ann Gray
• Great Teays Medical Associates
• Great Teays Podiatry
• Great Teays Podiatry, PLLC
• Greenbrier Valley Physical Therapy LLC (Teays Physical Therapy Center)

• Physical Therapy Assistant in Hurricane, WV
• Providers in Hurricane, WV by specialty
• Physical Therapy Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.