Gray Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT20219 Issued in CA

Legal business name

GRAY PHYSICAL THERAPY

Practice address

4250 Fowler LN Ste 101
Diamond Springs, CA 95619-9782

Phone

(530) 409-0677

Fax

(530) 295-8266

NPI assigned

Aug 25, 2009

Organization subpart

No

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

Authorized official

Name

Lawrence A Gray, MPTNPI 1861598542

Title

MPT/Owner

Phone

(530) 409-0677

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lawrence A Gray, M.P.T.

  • Physical Therapist
  • Diamond Springs, CA
  • NPI 1861598542
  NPD Authorized official

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513641600000",
    "number": "1639302631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 FOWLER LN STE 101",
            "city": "DIAMOND SPRINGS",
            "state": "CA",
            "postal_code": "956199782",
            "telephone_number": "530-409-0677",
            "fax_number": "530-295-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 FOWLER LN STE 101",
            "city": "DIAMOND SPRINGS",
            "state": "CA",
            "postal_code": "956199782",
            "telephone_number": "530-409-0677",
            "fax_number": "530-295-8266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAY PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-25",
        "last_updated": "2017-12-19",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MPT/OWNER",
        "authorized_official_telephone_number": "530-409-0677",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT20219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Garel, LMFT#140095
• Teri Lyn Gelgood, MFT
• Frances Goode, MFT
• Mitchell Allen Goodis, D.D.S.
• Tommi Graening
• Brooke Gray
• Lawrence A Gray, M.P.T.
• Michelle Green
• Denise Louise Gruber
• Jill Gustafson, LCSW

• Physical Therapist in Diamond Springs, CA
• Providers in Diamond Springs, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2017; 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.