Organization Active NPI

Paul E Gray

  • Physical Therapist
  • Bowling Green, KY
National Provider Identifier
1700074994
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
000555 Issued in KY
Legal business name
PAUL E GRAY
Practice address
1711 Ashley Cir
Suite 4
Bowling Green, KY 42104-5801
Phone
(270) 842-1690
Fax
(270) 842-2163
NPI assigned
Oct 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2012

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

Authorized official

Name
Paul E Gray, P.T.
Title
Physical Therapist
Phone
(270) 842-1690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 000555 KY Primary

Addresses

Primary practice location

1711 Ashley Cir
Suite 4
Bowling Green, KY 42104-5801

Mailing address

1711 Ashley Cir
Suite 4
Bowling Green, KY 42104-5801
Phone (270) 842-1690

National Provider Directory

National Provider Directory

Locations

1711 Ashley Cir
Ste 4
Bowling Green, KY 42104
Phone (270) 842-1690

NPI Registry JSON

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333497600000",
    "number": "1700074994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 ASHLEY CIR",
            "address_2": "SUITE 4",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421045801",
            "telephone_number": "270-842-1690",
            "fax_number": "270-842-2163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 ASHLEY CIR",
            "address_2": "SUITE 4",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421045801",
            "telephone_number": "270-842-1690",
            "fax_number": "270-842-2163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL E GRAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2012-04-04",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "270-842-1690",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "000555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; 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.