Robert Simpson Gray Jr., ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT000284 Issued in OH

Practice address

30033 Clemens Rd
Westlake, OH 44145-1021

Phone

(440) 899-5645

Fax

(440) 899-3160

NPI assigned

Jun 30, 2006

Sex

Male

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972532455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 PEPPERDINE DR",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440351566",
            "telephone_number": "440-366-9429",
            "fax_number": "440-899-3160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30033 CLEMENS RD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451021",
            "telephone_number": "440-899-5645",
            "fax_number": "440-899-3160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "ROBERT",
        "middle_name": "SIMPSON",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT000284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen T Grady, M.D.
• Macie Graham, RBT
• Phillip Martin Grahlfs, D.O
• Grand Care Assisted Living
• Colleen Gray, CCC/SLP
• Great Lakes Dentalof Westlake LLC
• Great River Cardiology, Inc
• Nancy L Grech, NP-C
• Mary Kay Greenberg, MD
• Alexandria Greene

• Athletic Trainer in Westlake, OH
• Providers in Westlake, OH by specialty
• Athletic Trainer in Ohio

• 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.