Individual provider Active NPI

Norman Gray, PT

  • Physical Therapist
  • Alpharetta, GA
National Provider Identifier
1699833467
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
000388 Issued in GA
Practice address
11950 Jones Bridge Rd Ste 110
Alpharetta, GA 30005-8911
Phone
(770) 475-8221
Fax
(770) 619-9606
NPI assigned
Dec 5, 2006
Sex
Male
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 000388 GA Primary

Addresses

Primary practice location

11950 Jones Bridge Rd Ste 110
Alpharetta, GA 30005-8911

Mailing address

11950 Jones Bridge Rd Ste 110
Alpharetta, GA 30005-8911
Phone (770) 475-8221

Other identifiers 1

IdentifierTypeStateIssuer
000388OtherGALICENSE NUMBER

Other names 1

  • Mr. Norman Gray Professional name

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

LicenseStateTypeSpecialty
000388GAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699833467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11950 JONES BRIDGE RD STE 110",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300058911",
            "telephone_number": "770-475-8221",
            "fax_number": "770-619-9606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11950 JONES BRIDGE RD STE 110",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300058911",
            "telephone_number": "770-475-8221",
            "fax_number": "770-619-9606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "NORMAN",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "000388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "000388",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NORMAN",
            "last_name": "GRAY",
            "prefix": "MR.",
            "credential": "PT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Alpharetta, GA

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.