Richelle Louise Gray, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

009385 Issued in OH

Practice address

4121 King Rd
Sylvania, OH 43560-4438

Phone

(419) 517-8200

NPI assigned

May 26, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

95.34 of 100Reported as apm

Quality

79.86

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1495756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495756800000",
    "number": "1780112375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 KING RD",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435604438",
            "telephone_number": "419-517-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 KING RD",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435604438",
            "telephone_number": "419-517-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "RICHELLE",
        "middle_name": "LOUISE",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-26",
        "last_updated": "2017-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "009385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT PT AT BOARD OF OHIO",
            "identifier": "009385",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Graham, PT
• Susanna Graham, OTR/L
• Jennifer Grant, DNP, AGPCNP-BC
• Judy Marie Gravenhorst
• Katina Gray
• Kimberly Graziano
• Dominique Green, QMHS
• Latanya Green
• Courtney Antionio Greenwood, D.D.S.
• Hayleigh M Grega

• Occupational Therapist in Sylvania, OH
• Providers in Sylvania, OH by specialty
• Occupational Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.