Kylen Matthew Gray, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05010536A Issued in IN

Practice address

14020 Old State Rd
Evansville, IN 47725-1121

Phone

(812) 469-4770

NPI assigned

Apr 8, 2019

Last updated

Apr 8, 2019By the provider in NPPES

Sex

Male

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

Enrolled in IN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Marys Health IncGroup PAC ID 9133023898, 53 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• St. Mary's Health, Inc

  dba Ascension St. Vincent Evansville

  • Internal Medicine Physician
  • Evansville, IN
  • NPI 1497706287

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• St. Mary's Health, Inc

  dba Ascension St. Vincent Evansville

  • Physical Therapy Clinic/Center
  • Evansville, IN
  • NPI 1023556305

  Physical Therapist

  NPD
• St. Mary's Health, Inc

  dba Ascension St. Vincent Evansville

  • Hematology & Oncology Physician
  • Newburgh, IN
  • NPI 1952101214
  NPD

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

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554681600000",
    "number": "1699238519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 CANYON ROCK CT",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477258274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14020 OLD STATE RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477251121",
            "telephone_number": "812-469-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "KYLEN",
        "middle_name": "MATTHEW",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-08",
        "last_updated": "2019-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05010536A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Graves
• Cymone Gray
• David Gray
• David C Gray, M.D.
• Jeffrey Wayne Gray, PH.D.
• Lindsey Ann Grayson
• Tiffany Lynne Grayson, PT
• Patrick W. Greaney, RN
• Brandy Marie Greco, DDS
• Paxton Joann Greco

• Physical Therapist in Evansville, IN
• Providers in Evansville, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; 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.