Gary Gray Physical Therapy Clinic

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

GARY GRAY PHYSICAL THERAPY CLINIC

Practice address

1801 W Maumee St
Suite 125
Adrian, MI 49221-1291

Phone

(517) 264-6141

Fax

(517) 263-5786

NPI assigned

Aug 8, 2007

Organization subpart

No

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

Authorized official

Name

Randolph P Frieser, PT

Title

President/Secretary

Phone

(312) 640-0329

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266969600000",
    "number": "1952592594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W WACKER DR",
            "address_2": "SUITE 1020",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606061216",
            "telephone_number": "312-640-0329",
            "fax_number": "312-640-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W MAUMEE ST",
            "address_2": "SUITE 125",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211291",
            "telephone_number": "517-264-6141",
            "fax_number": "517-263-5786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY GRAY PHYSICAL THERAPY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2010-02-24",
        "status": "A",
        "authorized_official_last_name": "FRIESER",
        "authorized_official_first_name": "RANDOLPH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT/SECRETARY",
        "authorized_official_telephone_number": "312-640-0329",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "26-6636",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hyacinth Anna Garrett-Engle
• Monica Garrison, CCC-SLP
• Tanya Garrison, PT
• Gary a Blaesing DDS PC
• Gary a Blaesing DDS PC
• Garza Chiropractic
• Jessica Garza, LLBSW
• Oliver A Garza, D.C.
• Hannah Michelle Gaspar, MSW
• Laura Geer, PT

• Physical Therapist in Adrian, MI
• Providers in Adrian, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; 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.