Scott Gray (NPI# 1073982617, PAC ID# 1153631445) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1073982617 |
| PAC ID by PECOS | 1153631445 |
| Professional Enrollment ID | I20151117002827 |
| Full Name | Scott Gray |
| Organization Legal Name | BACK IN MOTION SPORT AND SPINE PHYSICAL THERAPY LLC |
| Address |
12230 River Village Way Fort Myers FL 33905-6272 |
| Phone Number | 2392230484 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 7214294693 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 12230 River Village Way, Fort Myers, FL 33905-6272 | 2392230484 | BACK IN MOTION SPORT AND SPINE PHYSICAL THERAPY LLC |
| 9724 Commerce Ctr Ct, Fort Myers, FL 33908-3608 | 2392230484 | BACK IN MOTION SPORT AND SPINE PHYSICAL THERAPY LLC |
| Organization Legal Name | BACK IN MOTION SPORT AND SPINE PHYSICAL THERAPY LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Vincent Porco | Physical Therapy | Back In Motion Sport and Spine Physical Therapy LLC | 9724 Commerce Ctr Ct, Fort Myers, FL 33908-3608 |
| Sharon L Sims | Physical Therapy | Back In Motion Sport and Spine Physical Therapy LLC | 12230 River Village Way, Fort Myers, FL 33905-6272 |
| Jenna Mae Stasi | Physical Therapy | Back In Motion Sport and Spine Physical Therapy LLC | 9724 Commerce Ctr Ct, Fort Myers, FL 33908-3608 |
| Street Address |
12230 RIVER VILLAGE WAY |
| City | FORT MYERS |
| State | FL |
| Zip | 33905-6272 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sharon L Sims | Physical Therapy | Back In Motion Sport and Spine Physical Therapy LLC | 12230 River Village Way, Fort Myers, FL 33905-6272 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rita Nacken Gugel | Clinical Psychologist | 13314 Island Rd, Fort Myers, FL 33905-1805 | |
| Abel Natali-lopez | Family Medicine | Millennium Physician Group LLC | 13214 Palm Beach Blvd, Fort Myers, FL 33905-2025 |
| Carmen Maria Fernandez | Family Medicine | Millennium Physician Group LLC | 13214 Palm Beach Blvd, Fort Myers, FL 33905-2025 |
| Julie Anne Chapman | Nurse Practitioner | Millennium Physician Group LLC | 13214 Palm Beach Blvd, Fort Myers, FL 33905-2025 |
| Euclides Manelik Marmolejos Baez | Internal Medicine | Millennium Physician Group LLC | 13214 Palm Beach Blvd, Fort Myers, FL 33905-2025 |
| Jacqueline Bermudez | Chiropractic | 14042 Palm Beach Blvd, Fort Myers, FL 33905-2229 | |
| Eugene Usberghi | Family Medicine | 14651 Palm Beach Blvd, Suite 100, Fort Myers, FL 33905-2331 | |
| Diego D Sausa Jr. | Physical Therapy | 14630 Palm Beach Blvd, Suite 3, Fort Myers, FL 33905-2333 | |
| Rajan Kumar Sareen | Internal Medicine | 4801 Palm Beach Blvd, Fort Myers, FL 33905-3214 | |
| Aelle Jules Janvier | Nurse Practitioner | Millennium Physician Group LLC | 4881 Palm Beach Blvd, Suite 100, Fort Myers, FL 33905-3217 |
| Find all physicians in zip 33905 | |||
| City | FORT MYERS |
| Zip Code | 33905 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | FORT MYERS + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Scott Gray.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.