Danielle Gray, PTA
Individual provider Active NPI Physical Therapist · Gillette, WY
NPI 1700399722 · NPPES record last updated Nov 13, 2017
Key facts
- NPI
- 1700399722
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 0932 (WY)
- Practice address
- 548 Running W Dr
Gillette, WY 82718-2074 - Phone
- (307) 696-6045
- Fax
- (307) 696-6046
- NPI assigned
- Nov 13, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0932 | WY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Momentum Physical Therapy | Physical Therapist | Past | Accepting new patients |
| Core 307 PT LLC | Physical Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0932 | WY | Yes |
Addresses
Primary practice location
548 Running W Dr
Gillette, WY 82718-2074
Mailing address
548 Running W Dr
Gillette, WY 82718-2074
Other providers in Gillette, WY
- Courtney Goodnough
- Amanda Gossens
- Cassidy John Graham
- Brandi Marie Grande-Mathews
- Kyle Graves
- Haley D Gray
- Kristina Marie Gray
- Great Plains Telehealth
- Laurel Elizabeth Green
- Misty L Griffitts-Tompsett
All providers in Gillette, WY · Physical Therapist in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.