Kristin Marie Ray, PT,DPT,MS,CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0262671 Issued in NY

Practice address

241 Parrish St
Suite a
Canandaigua, NY 14424-1727

Phone

(585) 396-1400

Fax

(585) 396-3368

NPI assigned

Feb 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Kristin Marie Gilbert Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lake Country Physical Therapy & Sportscare, PC

  • Physical Therapist
  • Canandaigua, NY
  • NPI 1003958653
  NPD (past)
• Raymond Physical Therapy PLLC

  • Physical Therapist
  • Weedsport, NY
  • NPI 1831259456
  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1982746111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 PARRISH STREET",
            "address_2": "SUITE A",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241727",
            "telephone_number": "585-396-1400",
            "fax_number": "585-396-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 PARRISH ST",
            "address_2": "SUITE A",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241727",
            "telephone_number": "585-396-1400",
            "fax_number": "585-396-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "KRISTIN",
        "middle_name": "MARIE",
        "credential": "PT,DPT,MS,CSCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0262671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RCIPPAE",
            "identifier": "7151564",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2557115",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE PROVIDER I",
            "identifier": "172935FT",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "GILBERT",
            "middle_name": "MARIE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rachel Siditsky Acupuncture PLLC (Meridian Acupuncture)
• Rademacker Specific Chiropractic, P.C.
• Bree S Rademacker, D.C.
• Ryan P Rademacker, D.C.
• David Ragonesi, M.D.
• Raymond M. Thomas M.D., P.C.
• Susan Jeanne Rea, MFT
• Megan Lee Record
• Victoria Record, AGPCNP-BC
• Hannah Redington, OT/L

• Physical Therapist in Canandaigua, NY
• Providers in Canandaigua, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.