MEDICARE: ROBYN GRAY P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	1259	OH
2	174400000X	Specialist	1259	OH

General Provider Information

NPI Number	:	1184826539
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBYN GRAY P.T.

Provider Business Mailing Address
First Line	:	130 E COLUMBUS ST
Second Line	:	P.O. BOX 222
City	:	THORNVILLE
State	:	OH
Zip	:	43076-9701
Country	:	US
Telephone Number	:	740-975-5638
Fax Number	:

Provider Business Practice Location Address
First Line	:	1755 WITTINGTON PL STE 175
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75234-1927
Country	:	US
Telephone Number	:	214-442-4210
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2007
Last Update Date	:	11/26/2024

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