Emily Waugh Gray

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

Practice address

2557 Pembroke Rd
Gastonia, NC 28054-4712

Phone

(980) 320-8275

NPI assigned

Dec 30, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Pediatric Hands on Therapy, PC

  • Pediatric Occupational Therapist
  • Gastonia, NC
  • NPI 1255456513
  NPD (past)

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

{
    "created_epoch": "1609286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1831786300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 PEMBROKE RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280544712",
            "telephone_number": "980-320-8275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2557 PEMBROKE RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280544712",
            "telephone_number": "980-320-8275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "252 Latitude Ln Ste 103",
            "address_purpose": "LOCATION",
            "city": "Clover",
            "state": "SC",
            "postal_code": "297108152",
            "country_code": "US",
            "telephone_number": "803-818-0218",
            "fax_number": "803-701-7175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "EMILY",
        "middle_name": "WAUGH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-30",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP5559",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emily.waugh@photkids.com",
            "affiliation": "N",
            "address_1": "2557 Pembroke Rd",
            "city": "Gastonia",
            "state": "NC",
            "country_code": "US",
            "postal_code": "28054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Douglas Scott Graudons, PA-C
• Megan Graves
• Amie Gray
• Angela Bender Gray, RPH
• Cynthia J Gray, CRNA
• Kaffia Radiance Jennifer Gray
• Lisa C Gray
• Nicole Marie Gray, FNP-C
• Quetta Denise Gray
• Robert Elliott Gray

• Pediatric Physical Therapist in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Pediatric Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.

Verify at the official NPI Registry.