Casey Gray

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TE012411 Issued in PA

Practice address

220 Newry St
Hollidaysburg, PA 16648-1626

Phone

(814) 693-4000

NPI assigned

Jan 18, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1871182469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 COMPASS RD",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 NEWRY ST",
            "city": "HOLLIDAYSBURG",
            "state": "PA",
            "postal_code": "166481626",
            "telephone_number": "814-693-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "CASEY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-18",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE012411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Hollidaysburg",
            "affiliation": "N",
            "address_1": "220 Newry St",
            "city": "Hollidaysburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "166481626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brandon Gillie
• Richard Alan Gonsman, DMD
• Julianne Marie Graboski, PHD, APRN, BC
• Naomi N Granville, MOT, OTR
• Brooke R Grassmyer, MSN,APRN,FNP-C
• Mary Christina Green, LICENSED PROFESSIONA
• Megan Elise Green
• Gregory C. Sweeney, M.D. P.C.
• Heather Kay Grimminger, PTA
• Healing Space LLC

• Physical Therapy Assistant in Hollidaysburg, PA
• Providers in Hollidaysburg, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; 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.