Active NPI
Gilliann Gray
- Occupational Therapist
- Collierville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- The Farms at Bailey Station
3300 S Houston Levee Rd
Collierville, TN 38107 - Phone
- (901) 779-8200
- NPI assigned
- Jul 22, 2022
- Last updated
- Jul 22, 2022
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | NU | Primary |
Addresses
Primary practice location
The Farms at Bailey Station
3300 S Houston Levee Rd
Collierville, TN 38107
Mailing address
100 Kilmory Dr
Rossville, TN 38066-3676
Phone (901) 486-6837
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | securerecords.sanford.html | Direct | Functional Pathways |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2180 Mangum Rd
Memphis, TN 38134-5810
Phone (901) 307-7741
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aegis Group Practice LLC | Occupational Therapist | Current | Accepting new patients |
| Aegis Group Practice LLC | Occupational Therapist | Current | Accepting new patients |
| Ave Maria Home | Current | Accepting new patients | |
| Aegis Group Practice LLC | Occupational Therapist | Current | Accepting new patients |
| Doug Hassenpflug PLLC | Past | Accepting new patients | |
| Luke Inc. | Past | Accepting new patients | |
| Shelby County Board of Education | Past | Accepting new patients |
Locations
4933 Old Greenwood Rd
Fort Smith, AR 72903
2805 Charles Bryan Rd
Bartlett, TN 38134
Phone (901) 386-3211
2180 Mangum Rd
Memphis, TN 38134
Phone (901) 307-7741
Organizations & group practices 7
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.
-
- Nursing Facility/Intermediate Care Facility
- Memphis, TN
- NPI 1831250604
-
- Physical Therapist
- Indian Harbour Beach, FL
- NPI 1932072030
Occupational Therapist
-
- Optometrist
- Brentwood, TN
- NPI 1285072207
-
- Local Education Agency (LEA)
- Memphis, TN
- NPI 1720496425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658448000000",
"number": "1790410702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 KILMORY DR",
"city": "ROSSVILLE",
"state": "TN",
"postal_code": "380663676",
"telephone_number": "901-486-6837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "THE FARMS AT BAILEY STATION",
"address_2": "3300 S HOUSTON LEVEE RD",
"city": "COLLIERVILLE",
"state": "TN",
"postal_code": "38107",
"telephone_number": "901-779-8200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "GILLIANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-22",
"last_updated": "2022-07-22",
"certification_date": "2022-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "securerecords.sanford.html",
"affiliation": "Y",
"endpointDescription": "HTML",
"affiliationName": "Functional Pathways",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3300 S Houston Levee Rd",
"city": "Collierville",
"state": "TN",
"country_code": "US",
"postal_code": "380171344",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Collierville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; 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.