Michael J Gray, PT | |
401 Elmgrove Ave, Providence, RI 02906-3451 | |
(401) 490-9780 | |
(401) 783-5570 |
Full Name | Michael J Gray |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 401 Elmgrove Ave, Providence, Rhode Island |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679878995 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 032878-1 (New York) | Secondary |
225100000X | Physical Therapist | PT03377 (Rhode Island) | Primary |
Provider Name | Elite Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1225123565 PECOS PAC ID: 1951295187 Enrollment ID: O20040210000311 |
Provider Name | Bay State Physical Therapy Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1194387191 PECOS PAC ID: 6305176850 Enrollment ID: O20190925002744 |
Mailing Address | Practice Location Address |
---|---|
Michael J Gray, PT 401 Elmgrove Ave, Providence, RI 02906-3451 Ph: (401) 490-9780 | Michael J Gray, PT 401 Elmgrove Ave, Providence, RI 02906-3451 Ph: (401) 490-9780 |
Conor D. Bray, P.T., D.P.T Physical Therapist Medicare: Medicare Enrolled Practice Location: 49 Seekonk St, Providence, RI 02906 Phone: 401-726-7100 | |
Nicholas Ford, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 49 Seekonk St, Providence, RI 02906 Phone: 401-726-7100 | |
Mr. Thomas H. Wheeler, MMSC, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 830 Chalkstone Ave, Providence, RI 02908 Phone: 401-273-7100 | |
Mrs. Erin Kelli Dasilva, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 765 Allens Ave, Providence, RI 02905 Phone: 401-444-5020 Fax: 401-444-4181 | |
Angela Marie Lostritto, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 49 Seekonk St, Providence, RI 02906 Phone: 401-230-1126 | |
Alaina Lynn Denoncour, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 285 Promenade St, Providence, RI 02908 Phone: 401-459-4001 Fax: 401-459-4006 | |
Eileen T Tainsh, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy St, George Clinic, Providence, RI 02903 Phone: 401-444-3201 Fax: 401-444-6115 |