Individual provider Active NPI

Gwen Alane Graystone, P.T.

  • Physical Therapist
  • Merrillville, IN
National Provider Identifier
1972527927
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05003950A Issued in IN
Practice address
329 W 84TH Dr
Merrillville, IN 46410-6245
Phone
(219) 791-9021
Fax
(219) 791-9022
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 05003950A IN Primary

Addresses

Primary practice location

329 W 84TH Dr
Merrillville, IN 46410-6245

Mailing address

329 W 84TH Dr
Merrillville, IN 46410-6245
Phone (219) 791-9021

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

State licenses

LicenseStateTypeSpecialty
05003950AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Hammond Clinic LLC Past Accepting new patients
Centers for Hand & Physical Rehabilitation, Inc. Physical Therapist Past Accepting new patients

Organizations & group practices 2

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972527927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 W 84TH DR",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106245",
            "telephone_number": "219-791-9021",
            "fax_number": "219-791-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 W 84TH DR",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106245",
            "telephone_number": "219-791-9021",
            "fax_number": "219-791-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAYSTONE",
        "first_name": "GWEN",
        "middle_name": "ALANE",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05003950A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.