Active NPI
Dawn Marie Gray, PT, DPT, CERT. MDT
- Physical Therapist
- Garland, TX
National Provider Identifier
1790806156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1296763
- Practice address
- 3930 Naaman School Rd Ste D
Garland, TX 75040-0980 - Phone
- (469) 814-8126
- Fax
- (972) 905-5516
- NPI assigned
- Apr 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2007018567 | MO | |
| Physical Therapist | 225100000X | 11-03614 | KS | |
| Physical Therapist | 225100000X | 1296763 | TX | Primary |
Addresses
Primary practice location
3930 Naaman School Rd Ste D
Garland, TX 75040-0980
Mailing address
3930 Naaman School Rd Ste D
Garland, TX 75040-0980
Phone (469) 814-8126
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1296763 | Other | TX | PHYSICAL THERAPY |
| 932255 | Other | PTAN |
Other names 1
- Dawn Marie Kissman
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 |
|---|---|---|---|
| 11-03614 | KS | MD | Physical Therapist |
| 2007018567 | MO | MD | Physical Therapist |
| 1296763 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699401600000",
"number": "1790806156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3930 NAAMAN SCHOOL RD STE D",
"city": "GARLAND",
"state": "TX",
"postal_code": "750400980",
"telephone_number": "469-814-8126",
"fax_number": "972-905-5516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3930 NAAMAN SCHOOL RD STE D",
"city": "GARLAND",
"state": "TX",
"postal_code": "750400980",
"telephone_number": "469-814-8126",
"fax_number": "972-905-5516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "DAWN",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PT, DPT, CERT. MDT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-03",
"last_updated": "2023-11-08",
"certification_date": "2023-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2007018567",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "11-03614",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1296763",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY",
"identifier": "1296763",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "932255",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DAWN",
"last_name": "KISSMAN",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Garland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.