Individual provider Active NPI

Kellye D Gray, PT

  • Physical Therapist
  • Crestview, FL
National Provider Identifier
1851263917
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT10557 Issued in FL
Practice address
184 E Redstone Ave Ste a
Crestview, FL 32539-5372
Phone
(850) 689-3127
Fax
(850) 689-8504
NPI assigned
Sep 19, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT10557 FL Primary

Addresses

Primary practice location

184 E Redstone Ave Ste a
Crestview, FL 32539-5372

Mailing address

184 E Redstone Ave Ste a
Crestview, FL 32539-5372
Phone (850) 689-3127

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT10557FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Breeze Physical Therapy Inc. Physical Therapist PastSince Sep 21, 2025 Accepting new patients
Rehabclinics SPT Inc Physical Therapist PastSince Sep 21, 2025 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1758240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1851263917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 E REDSTONE AVE STE A",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325395372",
            "telephone_number": "850-689-3127",
            "fax_number": "850-689-8504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 E REDSTONE AVE STE A",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325395372",
            "telephone_number": "850-689-3127",
            "fax_number": "850-689-8504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "KELLYE",
        "middle_name": "D",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-19",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT10557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.