Individual provider Active NPI

David Gray, PT

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1710754916
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
033353 Issued in AZ
Practice address
20830 N Tatum Blvd Ste 170
Phoenix, AZ 85050-7252
Phone
(480) 502-5510
Fax
(480) 538-4862
NPI assigned
Dec 7, 2023
Last updated
Dec 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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 033353 AZ Primary

Addresses

Primary practice location

20830 N Tatum Blvd Ste 170
Phoenix, AZ 85050-7252

Mailing address

14287 N 87TH St Ste 220
Scottsdale, AZ 85260-3698
Phone (480) 937-1000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240311004131 AZ Practitioner - Physical Therapist in Private Practice 1153767215 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

20830 N Tatum Blvd
Suite 170
Phoenix, AZ 85050-7252
Phone (480) 502-5510

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Spooner Physical Therapy and Hand Rehab, PC Physical Therapist CurrentSince Jan 14, 2024 Accepting new patients
Spooner Physical Therapy & Hand Rehab, PC Current Accepting new patients
Spooner Physical Therapy & Hand Rehab, PC CurrentSince Jan 14, 2024 Accepting new patients
Arizona Luna Care Physical Therapy, LLC Physical Therapist CurrentSince Nov 20, 2024 Accepting new patients
Spooner Physical Therapy & Hand Rehab, PC Past Accepting new patients

Locations

14050 N 83rd Ave
Ste 290
Peoria, AZ 85381
Phone (623) 261-1362

20830 N Tatum Blvd
Ste 170
Phoenix, AZ 85050
Phone (480) 502-5510

14287 N 87th St
Ste 220
Scottsdale, AZ 85260

9097 E Desert Cove Ave
Ste 110
Scottsdale, AZ 85260
Phone (480) 860-4298

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1701907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1710754916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14287 N 87TH ST STE 220",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852603698",
            "telephone_number": "480-937-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20830 N TATUM BLVD STE 170",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850507252",
            "telephone_number": "480-502-5510",
            "fax_number": "480-538-4862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "DAVID",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-07",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "033353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.