Active NPI
Courtney Elysha Gray, DC
- Chiropractor
- Blooming Glen, PA
National Provider Identifier
1720352420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC010471
- Practice address
- 1281 Rte 113
Blooming Glen, PA 18911 - Phone
- (215) 257-3938
- NPI assigned
- Feb 28, 2012
- Last updated
- Feb 28, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC010471 | PA | Primary |
Addresses
Primary practice location
1281 Rte 113
Blooming Glen, PA 18911
Mailing address
PO Box 27
Blooming Glen, PA 18911-0027
Phone (215) 257-3938
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC010471 | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. J. Leah Garlan DC Inc | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Pennridge Wellness Center
- Chiropractor
- Blooming Glen, PA
- NPI 1902961253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330387200000",
"number": "1720352420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27",
"city": "BLOOMING GLEN",
"state": "PA",
"postal_code": "189110027",
"telephone_number": "215-257-3938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1281 RTE 113",
"city": "BLOOMING GLEN",
"state": "PA",
"postal_code": "18911",
"telephone_number": "215-257-3938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "COURTNEY",
"middle_name": "ELYSHA",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-28",
"last_updated": "2012-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC010471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blooming Glen, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.