Individual provider Active NPI

Merrie Gabrielle Gray, PT

  • Pediatric Physical Therapist
  • Floresville, TX
National Provider Identifier
1972003044
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
Practice address
2004 10TH St
Floresville, TX 78114-2770
Phone
(830) 393-8800
Fax
(830) 393-8828
NPI assigned
Feb 15, 2018
Last updated
Apr 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X NU Primary

Addresses

Primary practice location

2004 10TH St
Floresville, TX 78114-2770

Mailing address

2004 10TH St
Floresville, TX 78114-2770
Phone (830) 393-8800

Other practice location 1

225 Main St E
Monmouth, OR 97361-2240
Phone (503) 838-4244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Northwest Limited Partnership Pediatrics PastSince Mar 1, 2024 Accepting new patients
Virginia Beach City Public Schools Past Accepting new patients
PT Northwest LLC PastSince Mar 1, 2024 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1972003044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 10TH ST",
            "city": "FLORESVILLE",
            "state": "TX",
            "postal_code": "781142770",
            "telephone_number": "830-393-8800",
            "fax_number": "830-393-8828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 10TH ST",
            "city": "FLORESVILLE",
            "state": "TX",
            "postal_code": "781142770",
            "telephone_number": "830-393-8800",
            "fax_number": "830-393-8828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Main St E",
            "address_purpose": "LOCATION",
            "city": "Monmouth",
            "state": "OR",
            "postal_code": "973612240",
            "country_code": "US",
            "telephone_number": "503-838-4244",
            "fax_number": "503-838-4442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "MERRIE",
        "middle_name": "GABRIELLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-15",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Floresville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.