Judith Renee Gray, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT544 Issued in WY

Practice address

1771 Centennial Dr
Laramie, WY 82070-8403

Phone

(307) 742-3571

NPI assigned

Apr 13, 2017

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Developmental Preschool and Day Care Center

  • Clinic/Center
  • Laramie, WY
  • NPI 1083740369
  NPD (past)

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492041600000",
    "number": "1750815965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 E GARFIELD ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820703739",
            "telephone_number": "307-755-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1771 CENTENNIAL DR",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820708403",
            "telephone_number": "307-742-3571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "JUDITH",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-13",
        "last_updated": "2017-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WY",
            "license": "OT544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanae Grant
• Kevin Grauberger
• Graves and Associates LLC
• Wayne Graves, LCSW
• Breanna Gray
• John Green-Shumway
• Sarah Stephan Green, LCSW
• Greener Paths, Inc
• Greener Paths, Inc.
• Adrianne Kate Griebel, RD, LD, CLC

• Occupational Therapist in Laramie, WY
• Providers in Laramie, WY by specialty
• Occupational Therapist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.