Madison Lucille Gray, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201012830 Issued in MI

Practice address

3707 Katalin CT
Bay City, MI 48706-2161

Phone

(989) 671-0866

Fax

(989) 671-0867

NPI assigned

Jul 30, 2018

Last updated

Apr 1, 2022By 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 2

Addresses

Other names 1

• Madison Lucille Tremper Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Riversbend Rehabilitation Inc

  • Rehabilitation Clinic/Center
  • Bay City, MI
  • NPI 1013152206
  NPD
• Children's Therapy Corner Inc

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Midland, MI
  • NPI 1669418562
  NPD (past)
• David a. Wiersema, D.O., PLLC

  • Physical Medicine & Rehabilitation Physician
  • Saginaw, MI
  • NPI 1154572972
  NPD (past)

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1629556006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3707 KATALIN CT",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062161",
            "telephone_number": "989-671-0866",
            "fax_number": "989-671-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 KATALIN CT",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062161",
            "telephone_number": "989-671-0866",
            "fax_number": "989-671-0867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1525 Ridgewood Dr",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "MI",
            "postal_code": "486426425",
            "country_code": "US",
            "telephone_number": "989-835-6333",
            "fax_number": "989-835-4920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "MADISON",
        "middle_name": "LUCILLE",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-30",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201012830",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADISON",
            "last_name": "TREMPER",
            "middle_name": "LUCILLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ravindra N. Goyal, M.D.
• Kristine Kathleen Graham, DO
• Robert Wesley Graham, D.O.
• Brooke Catherine Grames
• Jessica Gray
• Great Lakes Bay Health Center (GLBHC Pharmacy Bay City South)
• Great Lakes Bay Health Centers
• Great Lakes Bay Health Centers (Great Lakes Bay Health Centers Bay City Central)
• Great Lakes Bay Health Centers
• Great Lakes Bay Health Centers (Great Lakes Bay Health Centers Bayside Dental)

• Occupational Therapist in Bay City, MI
• Providers in Bay City, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; 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.