Jennifer Gray

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

414 E Burdick Rd
Chesterton, IN 46304-9527

Phone

(317) 698-1057

NPI assigned

Apr 6, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1497877617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2723",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463045823",
            "telephone_number": "317-698-1057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 E BURDICK RD",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463049527",
            "telephone_number": "317-698-1057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8074 N Centenary Dr",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "IN",
            "postal_code": "461586800",
            "country_code": "US",
            "telephone_number": "317-831-4348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST STEPS PROVIDER #",
            "identifier": "200816420",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Easa Ghoreishi, MD
• Kassandra Glenn, RBT
• Globe Star, LLC
• Gerald E Gonnella, P.A.
• Emily R Gray, M.A. CF-SLP
• Jennifer Ellen Gray, DDS
• Laura Green
• Michelle L Green
• Brittany Lynn Griffith, MS, BCBA, LBA
• Cynthia Lynn Griffith, COTA

• Developmental Therapist in Chesterton, IN
• Providers in Chesterton, IN by specialty
• Developmental Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; 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.