Amanda Brooke Gray, PT, DPT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH10960 Issued in AL

Practice address

400 McFarland Blvd Ste F
Northport, AL 35476-3371

Phone

(205) 333-5351

Fax

(205) 333-5345

NPI assigned

Aug 29, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1992425284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MCFARLAND BLVD STE F",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354763371",
            "telephone_number": "205-333-5351",
            "fax_number": "205-333-5345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MCFARLAND BLVD STE F",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354763371",
            "telephone_number": "205-333-5351",
            "fax_number": "205-333-5345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "AMANDA",
        "middle_name": "BROOKE",
        "credential": "PT, DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH10960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Weave",
            "affiliation": "N",
            "endpointDescription": "Weave Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Weave Messaging",
            "address_1": "400 McFarland Blvd Ste F",
            "city": "Northport",
            "state": "AL",
            "country_code": "US",
            "postal_code": "354763371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Glen Haven Health and Rehabilitation, LLC
• Kaci Lauren Godwin
• Krista Michelle Goss, OTR
• Frederick S Graham, MD
• Vanessa Graves, LICSW, PIP
• Sha-Rhonda M. Green, PHD, LCSW
• Robert D Griffith, MD
• Beverly Jalon Guenther, LPC
• Erin Guffey, LPC
• Michael Alexander Guin, LAT, ATC

• Physical Therapist in Northport, AL
• Providers in Northport, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.