Amanda Ballard Gray, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA6295 Issued in AL

Practice address

4704 Cahaba River Rd
Ste J2
Birmingham, AL 35243-2344

Phone

(205) 298-8711

Fax

(205) 298-8722

NPI assigned

Aug 9, 2012

Last updated

Feb 4, 2016By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Benchmark Physical Therapy of Alabama, LLC

  • Physical Therapist
  • Birmingham, AL
  • NPI 1720484710
  NPD (past)
• Benchmark Physical Therapy of Alabama, LLC

  • Physical Therapist
  • Chattanooga, TN
  • NPI 1659642916
  NPD (past)

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454544000000",
    "number": "1609123538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8823 PRODUCTION LN",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373636511",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4704 CAHABA RIVER RD",
            "address_2": "STE J2",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352432344",
            "telephone_number": "205-298-8711",
            "fax_number": "205-298-8722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "AMANDA",
        "middle_name": "BALLARD",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-09",
        "last_updated": "2016-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AL",
            "license": "PTA6295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Graves, N.P.
• Makenzie Graves
• Taylor Graves
• Ronnie Matthew Gravett
• Michelle Gautreaux Gravois, MD
• Angela Gray
• Anna Barron Gray, M.D.
• Caleb Jordan Gray, MSN, FNP-C
• Courtney Dare Gray
• Derrick Gray, CRNA

• Physical Therapy Assistant in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Physical Therapy Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; 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.