Kyndra L Gray, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

22900 Issued in CA

Practice address

4080 N Cedar Ave
Fresno, CA 93726-5267

Phone

(559) 222-7497

Fax

(559) 224-9310

NPI assigned

Oct 31, 2005

Last updated

May 7, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Kyndra L Gean Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Golden Bear Physical Therapy Sports Injury Center, Inc

  • Physical Therapy Clinic/Center
  • Modesto, CA
  • NPI 1811084676

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273190400000",
    "number": "1598756553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4080 N CEDAR AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937265267",
            "telephone_number": "559-222-7497",
            "fax_number": "559-224-9310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 N CEDAR AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937265267",
            "telephone_number": "559-222-7497",
            "fax_number": "559-224-9310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "KYNDRA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-31",
        "last_updated": "2010-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "22900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYNDRA",
            "last_name": "GEAN",
            "middle_name": "L",
            "prefix": "MISS",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carson Gray
• Daniel A Gray
• Daniel Casey Gray, MD
• Elizabeth Gray, MA
• Jason A Gray, PT, DPT, OCS
• Lynda G. Gray, MD
• Mary C Gray
• Michele Joanna Gray, LVN
• Graysful Living LLC
• Alexander Devon Grayson-Alvarez

• Physical Therapist in Fresno, CA
• Providers in Fresno, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2010; 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.