MR. MATTHEW GRAY (NPI# 1467961334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467961334 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW GRAY |
| Credential | ATC |
| Practice Address |
450 Hanford St Richland WA 99354-1622 |
| Mailing Address |
2895 Pauling Ave Richland WA 99354-2833 |
| Practice Telephone | 5099676500 |
| Mailing Telephone | 5099293114 |
| Enumeration Date | 2017-09-23 |
| Last Update Date | 2017-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
A160590103 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043594773 | Matthew Lynn Gray | Dentist | 3670 Woodward Ave, Suite 101b, Detroit, MI 48201-2455 | 2011-09-29 |
| 1255576864 | Matthew Scott Gray | Dentist | 118 Sw 330th St, Suite 103, Federal Way, WA 98023-6185 | 2008-12-10 |
| 1255527305 | Matthew Patrick Gray | Physical Therapist | 894 Spruce Ct, Vail, CO 81657-4455 | 2007-09-22 |
| 1073704904 | Matthew Philip Gray | Dentist | 11920 E 86th St N, Owasso, OK 74055 | 2007-08-06 |
| 1962054148 | Matthew Gray | Social Worker | 4633 Aicholtz Rd, Cincinnati, OH 45244-1447 | 2019-07-09 |
| 1104393446 | Matthew Gray | Military Health Care Provider | 2630 Central Ave, Eielson Afb, AK 99702-2301 | 2018-10-24 |
| 1114412533 | Matthew Gray | Developmental Therapist | 345a Greenwood Street, Suite B, Worcester, MA 01607 | 2018-06-27 |
| 1770089922 | Matthew Gray | Student in an Organized Health Care Education/Training Program | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2018-04-04 |
| 1003346776 | Matthew Gray | Emergency Medicine | 115 W Silver St, Westfield, MA 01085-3678 | 2017-06-15 |
| 1922412170 | Matthew L Gray | Anesthesiology | 8000 E Maplewood Ave Ste 200, Greenwood Village, CO 80111-4727 | 2014-06-16 |
| Street Address |
450 HANFORD ST |
| City | RICHLAND |
| State | WA |
| Zip Code | 99354-1622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801415591 | Shawn Ryan Miller | Counselor | Lourdes Counseling Center, 1175 Carondelet Dr, Richland, WA 99354 | 2020-04-13 |
| 1891277448 | Tyler Andrew Burgett | Physician Assistant | 1015 Marshall Ave, Richland, WA 99354 | 2018-08-30 |
| 1275072704 | Glenn Manigque | Speech-Language Pathologist | 1525 Hunt Avenue, Richland, WA 99354 | 2017-02-16 |
| 1548688963 | Lorena Swift | Counselor | 2139 Van Giesen Street, Richland, WA 99354 | 2014-04-02 |
| 1346569431 | Mitchell Scott Ferris | Preventive Medicine | 2435 Stevens Center Place, Wtp Medcor Medical Facility, Richland, WA 99354 | 2010-05-28 |
| 1104155928 | Jamie Loretta Brault | Counselor | 1124 Stevens Drive, Richland, WA 99354 | 2009-12-08 |
| 1881835056 | Tracey Ann Glenn | Registered Nurse | 1305 Hains Avenue, Richland, WA 99354 | 2009-03-17 |
| 1124153374 | Robert John Betzler | Chiropractor | 294 Torbett, Richland, WA 99354 | 2007-02-21 |
| 1316090954 | Surender K Wadhwa | Internal Medicine | 217 Torbett Street, Suite 101, Richland, WA 99354 | 2007-01-18 |
| 1831136894 | James A. Strong Jr. | Anesthesiology | 2433 G. Washington Way, #7202, Richland, WA 99354 | 2006-05-31 |
| Find all providers in zip 99354 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962042325 | Noelle Maree Sernett | Specialist/Technologist | 3165 Willow Pointe Dr, Richland, WA 99354-2614 | 2020-01-13 |
| 1689237570 | Kallee Corbin | Specialist/Technologist | 1610 Venice Ln, Richland, WA 99352-7316 | 2019-04-17 |
| 1558887109 | Justin Traylor | Specialist/Technologist | 1201 Old Highway 49 S Ste 2, Richland, MS 39218-9617 | 2017-08-16 |
| 1548638919 | Amy Louise Mauro | Specialist/Technologist | 515 S Gull Lake Dr, Richland, MI 49083 | 2015-09-02 |
| 1245632199 | Matthew Pineo | Specialist/Technologist | 611 Cedar Ave, Richland, NJ 08350-2450 | 2014-09-23 |
| 1396011698 | Dawn May Morales | Specialist/Technologist | 1650 Larkspur Dr, Richland, WA 99352-7507 | 2012-03-30 |
| 1114044054 | Jill Dawn Harvill | Specialist/Technologist | 1979 Snyder St, Suite 150, Richland, WA 99354-5319 | 2007-03-24 |
| 1386771129 | Jody Stanton | Specialist/Technologist | 875 Swift Blvd, Richland, WA 99352-3592 | 2007-02-28 |
| 1760524631 | Jody Ann Treadway | Specialist/Technologist | 875 Swift Blvd, Richland, WA 99352-3592 | 2007-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851990329 | Tina Daniels | Specialist/Technologist | 5104 W Nob Hill Blvd Apt 8, Yakima, WA 98908-5814 | 2020-10-25 |
| 1902405079 | Sara Danielle Holey | Specialist/Technologist | 24048 Se 111th St, Issaquah, WA 98027-8320 | 2020-10-20 |
| 1265049902 | Erin L Rose | Specialist/Technologist | 510 Nw Larry St, Pullman, WA 99163-3584 | 2020-09-27 |
| 1790392629 | William Bratton | Specialist/Technologist | 26222 119th Dr Se, Kent, WA 98030-7882 | 2020-09-24 |
| 1790392611 | Carli Grace Robins | Specialist/Technologist | 3654 Nw Cascade Ave, East Wenatchee, WA 98802-9570 | 2020-09-24 |
| 1164039079 | Jalyn Rutledge | Specialist/Technologist | Bohler Athletic Complex Cougar Way - Wsu, Pullman, WA 99164-0001 | 2020-09-24 |
| 1356957054 | Alex Vincent Pham | Specialist/Technologist | 3523 Se 176th Ave, Vancouver, WA 98683-3591 | 2020-09-17 |
| 1063030583 | Elizabeth Kakos | Specialist/Technologist | 528 Pontius Ave N Unit 431, Seattle, WA 98109-5821 | 2020-07-10 |
| 1396369708 | Kristin Marie Mikolajewski | Specialist/Technologist | 116 247th Ave Se, Sammamish, WA 98074-3444 | 2020-06-01 |
| 1437773033 | Mckaleb Pool | Specialist/Technologist | 10777 Grafton Pl Nw, Silverdale, WA 98383-8941 | 2020-05-31 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.