Amy Gray, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2112657 Issued in TX

Practice address

2401 Development Blvd
Waco, TX 76705-2903

Phone

(254) 296-8976

NPI assigned

Sep 10, 2018

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

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": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1902389695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 SUGAR CREEK PL",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767123407",
            "telephone_number": "254-498-3815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 DEVELOPMENT BLVD",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767052903",
            "telephone_number": "254-296-8976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 W Haven St",
            "address_purpose": "LOCATION",
            "city": "West",
            "state": "TX",
            "postal_code": "766911011",
            "country_code": "US",
            "telephone_number": "254-826-5354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "AMY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2112657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Nicole Granfor
• Christopher R. Grant, M.D.
• Jennifer Erin Grant, DDS
• Siovhan Reene Grant
• Thomas James Grass, DMD
• Robert W Grayson, M.D.
• Greater Love Ministries
• Greater Texas Behavioral Clinic LLC
• Greater Waco Counseling & Wellness, PLLC
• Green Eye Associates, PLLC

• Physical Therapy Assistant in Waco, TX
• Providers in Waco, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; 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.