Individual provider Active NPI

Robert Benjamin Gray, DPT

  • Physical Therapist
  • Birmingham, AL
National Provider Identifier
1710289343
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH6019 Issued in AL
Practice address
700 Century Park S Ste 100
Birmingham, AL 35226-3943
Phone
(205) 558-8035
Fax
(205) 449-1990
NPI assigned
Dec 2, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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 PTH6019 AL Primary

Addresses

Primary practice location

700 Century Park S Ste 100
Birmingham, AL 35226-3943

Mailing address

1612 Stonewall Dr
Vestavia, AL 35226-3527
Phone (205) 558-8035

Other identifiers 1

IdentifierTypeStateIssuer
PTH6019OtherALSTATE LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110210000640 AL Practitioner - Physical Therapist in Private Practice 9830379676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Naos Physical Therapy and FitnessGroup PAC ID 1759614803, 2 clinicians

Practice addresses (Care Compare)

700 Century Park S
Suite 100
Birmingham, AL 35226-3943
Phone (205) 558-8035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Naos Physical Therapy and Fitness Physical Therapist CurrentSince Aug 7, 2019 Accepting new patients
Ew Motion Therapy Trussville LLC Physical Therapist PastSince Apr 1, 2010 Accepting new patients

Locations

700 Century Park S
Ste 100
Birmingham, AL 35226
Phone (205) 558-8035

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1710289343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 STONEWALL DR",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352263527",
            "telephone_number": "205-558-8035",
            "fax_number": "205-449-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 CENTURY PARK S STE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352263943",
            "telephone_number": "205-558-8035",
            "fax_number": "205-449-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "ROBERT",
        "middle_name": "BENJAMIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-02",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH6019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "PTH6019",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; 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.