Active NPI
Steve R Grayson, O.T.R.
- Specialist
- Homer, LA
National Provider Identifier
1861775744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- Z11040
- Practice address
- 123 W Main St
Homer, LA 71040-4435 - Phone
- (318) 927-4987
- Fax
- (318) 927-4987
- NPI assigned
- Sep 27, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Z11040 | LA | Primary |
Addresses
Primary practice location
123 W Main St
Homer, LA 71040-4435
Mailing address
207 N Service Rd E
Ruston, LA 71270-2805
Phone (318) 927-4987
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
| License | State | Type | Specialty |
|---|---|---|---|
| Z11040 | LA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossroads Rehabilitation LLC | Past | Accepting new patients |
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.
-
- Physical Therapist
- Homer, LA
- NPI 1861775058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317340800000",
"number": "1861775744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 N SERVICE RD E",
"city": "RUSTON",
"state": "LA",
"postal_code": "712702805",
"telephone_number": "318-927-4987",
"fax_number": "318-927-4987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 W MAIN ST",
"city": "HOMER",
"state": "LA",
"postal_code": "710404435",
"telephone_number": "318-927-4987",
"fax_number": "318-927-4987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAYSON",
"first_name": "STEVE",
"middle_name": "R",
"credential": "O.T.R.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-27",
"last_updated": "2011-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "LA",
"license": "Z11040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Homer, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.