Individual provider Active NPI

William S Grey, PT

  • Physical Therapist
  • Pueblo, CO
National Provider Identifier
1851376701
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT6201 Issued in CO
Practice address
3525 Spaulding Ave
Pueblo, CO 81008-2208
Phone
(719) 542-4444
Fax
(719) 543-1990
NPI assigned
Dec 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2012

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 PT6201 CO Primary

Addresses

Primary practice location

3525 Spaulding Ave
Pueblo, CO 81008-2208

Mailing address

3525 E Spaulding Ave
Pueblo, CO 81008-2208
Phone (719) 542-4444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120307000586 CO Practitioner - Physical Therapist in Private Practice 7113994336 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pueblo Rehab and Orthopedic Therapy LLCGroup PAC ID 0547236697, 3 clinicians

Practice addresses (Care Compare)

3525 E Spaulding Ave
Pueblo, CO 81008-2208
Phone (719) 542-4444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT6201COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pueblo Rehab & Orthopedic Therapy LLC Physical Therapist CurrentSince Mar 1, 2003 Accepting new patients

Locations

3525 E Spaulding Ave
Pueblo, CO 81008
Phone (719) 347-9309

4017 Jerry Murphy Rd
Pueblo, CO 81001
Phone (719) 542-4444

Organizations & group practices 1

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": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325548800000",
    "number": "1851376701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 E SPAULDING AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082208",
            "telephone_number": "719-542-4444",
            "fax_number": "719-543-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 SPAULDING AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082208",
            "telephone_number": "719-542-4444",
            "fax_number": "719-543-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREY",
        "first_name": "WILLIAM",
        "middle_name": "S",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2012-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PT6201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; 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.

Verify at the official NPI Registry.