Active NPI
Michelle Anne Gray, MS, OTR/L, CLT
- Hand Occupational Therapist
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 5378
- Practice address
- 1608 Gunbarrel Rd
Ste 103
Chattanooga, TN 37421-7197 - Phone
- (423) 892-8070
- Fax
- (423) 893-9891
- NPI assigned
- Mar 7, 2011
- Last updated
- Mar 15, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | 5378 | TN | Primary |
| Hand Occupational Therapist | 225XH1200X | OT 12872 | CA |
Addresses
Primary practice location
1608 Gunbarrel Rd
Ste 103
Chattanooga, TN 37421-7197
Mailing address
8823 Production LN
Ooltewah, TN 37363-6511
Phone (423) 238-7217
Other names 1
- Michelle Iovannisci
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015234 | NY | MD | Psychologist |
| OT 12872 | CA | MD | Hand Occupational Therapist |
| 5378 | TN | MD | Physician Assistant |
| 12872 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Hand and Physical Therapy Inc | Hand | Current | Accepting new patients |
| Syracuse Orthopedic Specialists, PLLC | Current | Accepting new patients | |
| California Hand and Physical Therapy Inc | Past | Accepting new patients | |
| PT Hawaii, Inc. | Past | Accepting new patients |
Locations
2001 Solar Dr
Ste 150
Oxnard, CA 93036
Phone (805) 604-1924
2001 Solar Dr
Ste 180
Oxnard, CA 93036
Phone (805) 604-1924
425 Lombard St
Thousand Oaks, CA 91360
Phone (805) 494-4145
5719 Widewaters Pkwy
Syracuse, NY 13214
Phone (315) 251-3110
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Syracuse, NY
- NPI 1669410379
-
- Hand Physical Therapist
- Thousand Oaks, CA
- NPI 1518121516
-
- Physical Therapy Clinic/Center
- Thousand Oaks, CA
- NPI 1538985858
-
- Orthopedic Physical Therapist
- Waipahu, HI
- NPI 1598718181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458000000000",
"number": "1932407426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8823 PRODUCTION LN",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373636511",
"telephone_number": "423-238-7217",
"fax_number": "423-238-3473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1608 GUNBARREL RD",
"address_2": "STE 103",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374217197",
"telephone_number": "423-892-8070",
"fax_number": "423-893-9891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "MICHELLE",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "MS, OTR/L, CLT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-07",
"last_updated": "2016-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "TN",
"license": "5378",
"primary": true
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "CA",
"license": "OT 12872",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "IOVANNISCI",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; 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.