Individual provider · Type 1 NPI

Derek Allen Gray, PTA

Physical Therapy Assistant · Chicago, IL

NPI number 1396406237 Active

Practice location

2425 E 71st St
Chicago, IL 60649-2612

Call (773) 721-5000 Map

Mailing address

801 S Financial Pl Apt 1703
Chicago, IL 60605-1794

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X160.009402 (IL)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1396406237

Derek Allen Gray, PTA's National Provider Identifier is 1396406237, issued on Jan 3, 2022. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Chicago, IL. The record was last updated on Jan 3, 2022.