Individual provider Active NPI

Evan Wray, DPT

  • Physical Therapist
  • Youngstown, OH
National Provider Identifier
1730637950
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT016518 Issued in OH
Practice address
4501 Belmont Ave Ste 2
Youngstown, OH 44505-1042
Phone
(330) 576-8250
NPI assigned
Sep 16, 2016
Last updated
Nov 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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 PT016518 OH Primary

Addresses

Primary practice location

4501 Belmont Ave Ste 2
Youngstown, OH 44505-1042

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 497-0005

Other practice location 1

16044 State Route 170
East Liverpool, OH 43920-9039
Phone (330) 385-3118

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170505001983 OH Practitioner - Physical Therapist in Private Practice 7315224003 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Drayer Physical Therapy Northern Ohio LLCGroup PAC ID 7315179561, 50 clinicians

Practice addresses (Care Compare)

4501 Belmont Ave
Suite 2
Youngstown, OH 44505-1042
Phone (330) 576-8250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tudor Home Therapies Inc Physical Therapist CurrentSince Nov 26, 2023 Accepting new patients
Drayer Physical Therapy Northern Ohio LLC Physical Therapist CurrentSince Dec 9, 2024 Accepting new patients
Tu Dor Home Therapies Inc Physical Therapist Past Accepting new patients
Circle Rehabilitation Physical Therapy Inc Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

108 Barrington Town Square Dr
Aurora, OH 44202
Phone (330) 562-1655

17 E River St
Ste A
Newton Falls, OH 44444
Phone (330) 872-7242

4451 Mahoning Ave NW
Ste A
Warren, OH 44483
Phone (330) 372-0207

2860 Canfield Rd
Youngstown, OH 44511
Phone (330) 792-1118

4501 Belmont Ave
Ste 2
Youngstown, OH 44505
Phone (330) 576-8250

Organizations & group practices 4

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": "1473984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1730637950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-497-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 BELMONT AVE STE 2",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051042",
            "telephone_number": "330-576-8250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16044 State Route 170",
            "address_purpose": "LOCATION",
            "city": "East Liverpool",
            "state": "OH",
            "postal_code": "439209039",
            "country_code": "US",
            "telephone_number": "330-385-3118",
            "fax_number": "330-385-3119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRAY",
        "first_name": "EVAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-16",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT016518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; 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.