Active NPI
Jennifer Winchester Gray, PT, DPT
- Physical Therapist
- Pinehurst, NC
National Provider Identifier
1780923656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P19554
- Practice address
- 9 Furlong PL
Pinehurst, NC 28374-8692 - Phone
- (239) 390-3978
- NPI assigned
- Feb 12, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P19554 | NC | Primary |
| Physical Therapist | 225100000X | PT 28055 | FL |
Addresses
Primary practice location
9 Furlong PL
Pinehurst, NC 28374-8692
Mailing address
9 Furlong PL
Pinehurst, NC 28374-8692
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 28055 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freedom Physical Therapy and Fitness, PLLC | Physical Therapist | 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 and National Provider Directory roles.
-
- Physical Therapist
- Naples, FL
- NPI 1750060760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602115200000",
"number": "1780923656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 FURLONG PL",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283748692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 FURLONG PL",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283748692",
"telephone_number": "239-390-3978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "JENNIFER",
"middle_name": "WINCHESTER",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-12",
"last_updated": "2020-10-08",
"certification_date": "2020-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P19554",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT 28055",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pinehurst, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.