Healthcare Provider Details

I. General information

NPI: 1306207543
Provider Name (Legal Business Name): CAITLIN ROSE DEGRAY D.P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CAITLIN ROSE FYE D.P.T.

II. Dates (important events)

Enumeration Date: 03/16/2016
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1017 FORDING ISLAND RD STE F-101
BLUFFTON SC
29910-4211
US

IV. Provider business mailing address

1200 CORPORATE DR STE 400
HOOVER AL
35242-5424
US

V. Phone/Fax

Practice location:
  • Phone: 843-815-2563
  • Fax:
Mailing address:
  • Phone: 423-238-7217
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number13363
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number10807
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: