Matthew Bray, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60932390 Issued in WA

Practice address

9631 N Nevada St Ste LL2
Spokane, WA 99218-1134

Phone

(509) 483-0889

Fax

(509) 483-0974

NPI assigned

May 21, 2019

Last updated

May 21, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA, ID2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shellman Inc PAGroup PAC ID 4981592938, 45 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Shellman Inc PA

  dba North Idaho Physical Therapy

  • Physical Therapist
  • Coeur d'Alene, ID
  • NPI 1326050253

  WA

  Medicare reassignment Care Compare group NPD
• Spokane Sports and Physical Therapy, PS

  • Physical Therapist
  • Spokane, WA
  • NPI 1407043037
  Medicare reassignment NPD

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558396800000",
    "number": "1710544127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9631 N NEVADA ST STE LL2",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181134",
            "telephone_number": "509-483-0889",
            "fax_number": "509-483-0974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9631 N NEVADA ST STE LL2",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181134",
            "telephone_number": "509-483-0889",
            "fax_number": "509-483-0974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAY",
        "first_name": "MATTHEW",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-21",
        "last_updated": "2019-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60932390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bart R Braxton, R.P.H.
• Brenda S. Bray, PH
• Emily Anne Kayde Bray
• Felicia Bray, RN
• Jennifer Bray, MS, SLP
• Michael Ray Bray Jr.
• Robert F Bray, M.D.
• Abigail Brayman
• Lucas Brazeau
• Breakaway Research Group

• Physical Therapist in Spokane, WA
• Providers in Spokane, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; 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.