Individual provider Active NPI

Kimberly Ann Ogden Gray, PT

  • Physical Therapist
  • Washington, DC
National Provider Identifier
1801051198
Registry record updated Feb 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT871438 Issued in DC
Practice address
5215 Loughboro Rd NW
Suite 200
Washington, DC 20016-2618
Phone
(317) 670-7385
NPI assigned
Jul 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 06003589A IN
Physical Therapist 225100000X PT871438 DC Primary
Physical Therapist 225100000X 2305207507 VA
Physical Therapist 225100000X 24113 MD

Addresses

Primary practice location

5215 Loughboro Rd NW
Suite 200
Washington, DC 20016-2618

Mailing address

5215 Loughboro Rd NW
Suite 200
Washington, DC 20016-2618
Phone (317) 670-7385

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

LicenseStateTypeSpecialty
PT871438DCMDPhysical Therapist
24113MDMDPhysical Therapist
2305207507VAMDPhysical Therapist
06003589AINMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360713600000",
    "number": "1801051198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5215 LOUGHBORO RD NW",
            "address_2": "SUITE 200",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200162618",
            "telephone_number": "317-670-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 LOUGHBORO RD NW",
            "address_2": "SUITE 200",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200162618",
            "telephone_number": "317-670-7385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "KIMBERLY",
        "middle_name": "ANN OGDEN",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-25",
        "last_updated": "2013-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IN",
            "license": "06003589A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "PT871438",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305207507",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "24113",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; 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.