Individual provider Active NPI

Andrew S Gray, DPT

  • Physical Therapist
  • Elizabethtown, KY
National Provider Identifier
1881135390
Registry record updated Mar 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
004590 Issued in KY
Practice address
4031 N Dixie Hwy
Suite 104
Elizabethtown, KY 42701-7873
Phone
(270) 982-4776
Fax
(270) 982-4778
NPI assigned
Mar 16, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2017

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 004590 KY Primary

Addresses

Primary practice location

4031 N Dixie Hwy
Suite 104
Elizabethtown, KY 42701-7873

Mailing address

383 Corbin Center Dr
Corbin, KY 40701-1895
Phone (606) 526-2909

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170419001200 KY Practitioner - Physical Therapist in Private Practice 2860778214 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004590KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PT Pros, Inc. Physical Therapist CurrentSince Feb 22, 2017 Accepting new patients
PT Pros, Inc. Physical Therapist CurrentSince Feb 22, 2017 Accepting new patients
PT Pros, Inc. Physical Therapist Past Accepting new patients
PT Pros Inc Physical Therapist Past Accepting new patients
PT Pros, Inc. Physical Therapist Past Accepting new patients
PT Pros, Inc. Physical Therapist Past Accepting new patients
PT Pros, Inc. Physical Therapist Past Accepting new patients
PT Pros, Inc. Physical Therapist Past Accepting new patients

Locations

383 Corbin Center Dr
Corbin, KY 40701
Phone (606) 526-2909

4031 N Dixie Hwy
Ste 104
Elizabethtown, KY 42701
Phone (270) 982-4776

110 Professional Ln
Ste 102
Harlan, KY 40831
Phone (606) 573-9539

200 Village Ln
Hazard, KY 41701
Phone (606) 439-4777

201 S Main St
Leitchfield, KY 42754
Phone (270) 230-1729

1713 Nicholasville Rd
Lexington, KY 40503
Phone (859) 252-6500

1138 S Highway 27
Somerset, KY 42501
Phone (606) 677-2006

Organizations & group practices 8

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": "1489622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489622400000",
    "number": "1881135390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 CORBIN CENTER DR",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407011895",
            "telephone_number": "606-526-2909",
            "fax_number": "606-526-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4031 N DIXIE HWY",
            "address_2": "SUITE 104",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427017873",
            "telephone_number": "270-982-4776",
            "fax_number": "270-982-4778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "ANDREW",
        "middle_name": "S",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-16",
        "last_updated": "2017-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "004590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.