Individual provider Active NPI

Charlotte Louise McCray, P.T.

  • Physical Therapist
  • Montgomery, AL
National Provider Identifier
1609998624
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH3920 Issued in AL
Practice address
1725 W 4TH St
Ste 200
Montgomery, AL 36106-1509
Phone
(334) 269-4724
Fax
(334) 269-4725
NPI assigned
Apr 3, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH3920 AL Primary

Addresses

Primary practice location

1725 W 4TH St
Ste 200
Montgomery, AL 36106-1509

Mailing address

1725 W 4TH St
Ste 200
Montgomery, AL 36106-1509
Phone (334) 269-4724

Other identifiers 1

IdentifierTypeStateIssuer
51521130OtherALBCBS AL PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080529000649 AL Practitioner - Physical Therapist in Private Practice 7012087364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1725 W 4TH St
Montgomery, AL 36106-1509

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH3920ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrity Rehab & Therapy Services Inc. Physical Therapist Current Accepting new patients
Integrity Rehab & Therapy Services Inc. Physical Therapist CurrentSince Feb 28, 2008 Accepting new patients

Locations

1725 W 4th St
Ste 200
Montgomery, AL 36106
Phone (334) 269-4724

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.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609998624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 W 4TH ST",
            "address_2": "STE 200",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061509",
            "telephone_number": "334-269-4724",
            "fax_number": "334-269-4725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 W 4TH ST",
            "address_2": "STE 200",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061509",
            "telephone_number": "334-269-4724",
            "fax_number": "334-269-4725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRAY",
        "first_name": "CHARLOTTE",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH3920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AL PROVIDER #",
            "identifier": "51521130",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.