Individual provider Active NPI

Justyn Khalil Gray, DPT

  • Physical Therapist
  • Cary, NC
National Provider Identifier
1700793858
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P25255 Issued in NC
Practice address
3675 SW Cary Pkwy
Cary, NC 27513-8913
Phone
(919) 913-8455
Fax
(919) 913-8462
NPI assigned
Aug 25, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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 P25255 NC Primary

Addresses

Primary practice location

3675 SW Cary Pkwy
Cary, NC 27513-8913

Mailing address

204 Matthews Dr
Holly Springs, NC 27540-4302
Phone (919) 578-4200

Other practice location 1

5716 W Gate City Blvd
Greensboro, NC 27407-7039
Phone (336) 600-9930

Other practice location 2

204 Matthews Dr
Holly Springs, NC 27540-4302
Phone (919) 578-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1787616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1700793858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 MATTHEWS DR",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275404302",
            "telephone_number": "919-578-4200",
            "fax_number": "919-578-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3675 SW CARY PKWY",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275138913",
            "telephone_number": "919-913-8455",
            "fax_number": "919-913-8462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5716 W Gate City Blvd",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274077039",
            "country_code": "US",
            "telephone_number": "336-600-9930",
            "fax_number": "336-600-9960",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "204 Matthews Dr",
            "address_purpose": "LOCATION",
            "city": "Holly Springs",
            "state": "NC",
            "postal_code": "275404302",
            "country_code": "US",
            "telephone_number": "919-578-4200",
            "fax_number": "919-578-9922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "JUSTYN",
        "middle_name": "KHALIL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-08-25",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P25255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.