Shannon E Gray, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

032975 Issued in NY

Practice address

1971 Western Ave
Albany, NY 12203-5066

Phone

(518) 869-6220

Fax

(518) 869-6465

NPI assigned

Aug 24, 2010

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

Medicare fee-for-service enrollment

Enrolled in NY, CT2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

May accept Medicare assignment

Group practices

Green Room Physical Therapy PLLCGroup PAC ID 2668887100, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Green Room Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Troy, NY
  • NPI 1083154132

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Independence Physical Therapy, LLC

  • Physical Therapist
  • Mystic, CT
  • NPI 1578596888
  Medicare reassignment NPD

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333411200000",
    "number": "1992011282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1971 WESTERN AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122035066",
            "telephone_number": "518-869-6220",
            "fax_number": "518-869-6465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1971 WESTERN AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122035066",
            "telephone_number": "518-869-6220",
            "fax_number": "518-869-6465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "SHANNON",
        "middle_name": "E",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-24",
        "last_updated": "2012-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "032975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary B Gray, RPA-C
• Rachel Gray
• Rebecca Gray, MSED CCC-SLP
• Robin M Gray, FNP
• Serena Gray
• Shavonna Grayton
• Aryn Marie Graziano, CRNA
• Pauline D Graziano, NP
• Mitchell Gabriel Grecu, MD
• Amina Green, LPN

• Physical Therapist in Albany, NY
• Providers in Albany, 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 Apr 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.