Janika E Gray, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

07918 Issued in LA

Practice address

3867 Bayou Acres Dr
Bastrop, LA 71220-9232

Phone

(318) 283-2080

Fax

(318) 283-0606

NPI assigned

Apr 24, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Daniel Wood PT, Inc.Group PAC ID 6305839218, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Daniel Wood PT, Inc.

  • Specialist
  • Bastrop, LA
  • NPI 1275590978
  Medicare reassignment Care Compare group NPD
• Daniel Wood PT Inc

  • Specialist
  • Monroe, LA
  • NPI 1245449396
  NPD (past)

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1871157073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3867 BAYOU ACRES DR",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712209232",
            "telephone_number": "318-283-2080",
            "fax_number": "318-283-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3867 BAYOU ACRES DR",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712209232",
            "telephone_number": "318-283-2080",
            "fax_number": "318-283-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "JANIKA",
        "middle_name": "E",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-24",
        "last_updated": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "07918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Good Shepherd Personal Care LLC
• Good Shepherd Personal Care LLC
• Good Shepherd Personal Care LLC
• Good Shepherd Personal Care Service LLC
• Shannon L Grantham, LCSW
• Curt Green
• Randy Green
• Sheila C Green, LPC
• Trenton Lamar Green, MA
• Shamijah Griffin

• Physical Therapist in Bastrop, LA
• Providers in Bastrop, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; 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.