Active NPI
Matthew Gray, PT, DPT
- Physical Therapist
- Oklahoma City, OK
National Provider Identifier
1669804191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4731
- Practice address
- 9210 S Western Ave Ste 27
Oklahoma City, OK 73139-2734 - Phone
- (405) 692-2333
- Fax
- (405) 692-1513
- NPI assigned
- Aug 7, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4731 | OK | Primary |
Addresses
Primary practice location
9210 S Western Ave Ste 27
Oklahoma City, OK 73139-2734
Mailing address
13208 Inverness Ave
Oklahoma City, OK 73120-8509
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4731 | OK | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375833600000",
"number": "1669804191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13208 INVERNESS AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731208509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9210 S WESTERN AVE STE 27",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731392734",
"telephone_number": "405-692-2333",
"fax_number": "405-692-1513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "MATTHEW",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-07",
"last_updated": "2013-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "4731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.