Darrell S Gray Jr. (NPI# 1346764172, PAC ID# 4587939236) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1346764172 |
| PAC ID by PECOS | 4587939236 |
| Professional Enrollment ID | I20171005000259 |
| Full Name | Darrell S Gray Jr. |
| Organization Legal Name | LANE PHYSICAL THERAPY CENTER, INC |
| Address |
3016 W Main St Suite 200 Russellville AR 72801-2453 |
| Phone Number | 4799679657 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 1456246818 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040016 | UAMS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3016 W Main St, Suite 200, Russellville, AR 72801-2453 | 4799679657 | LANE PHYSICAL THERAPY CENTER, INC |
| Organization Legal Name | LANE PHYSICAL THERAPY CENTER, INC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacey B Boster | Physical Therapy | Lane Physical Therapy Center, Inc | 3016 W Main St, Suite 200, Russellville, AR 72801-2453 |
| Karlee A Mater | Physical Therapy | Lane Physical Therapy Center, Inc | 3016 W Main St, Suite 200, Russellville, AR 72801-2453 |
| Jordyn S Dixon | Physical Therapy | Lane Physical Therapy Center, Inc | 3016 W Main St, Suite 200, Russellville, AR 72801-2453 |
| Cameron A Lane | Physical Therapy | Lane Physical Therapy Center, Inc | 3016 W Main St, Suite 200, Russellville, AR 72801-2453 |
| Carajean F Loyd | Physical Therapy | Lane Physical Therapy Center, Inc | 3016 W Main St, Suite 200, Russellville, AR 72801-2453 |
| Street Address |
3016 W MAIN ST SUITE 200 |
| City | RUSSELLVILLE |
| State | AR |
| Zip | 72801-2453 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacey B Boster | Physical Therapy | Lane Physical Therapy Center, Inc | 3016 W Main St, Suite 200, Russellville, AR 72801-2453 |
| Karlee A Mater | Physical Therapy | Lane Physical Therapy Center, Inc | 3016 W Main St, Suite 200, Russellville, AR 72801-2453 |
| Jordyn S Dixon | Physical Therapy | Lane Physical Therapy Center, Inc | 3016 W Main St, Suite 200, Russellville, AR 72801-2453 |
| Cameron A Lane | Physical Therapy | Lane Physical Therapy Center, Inc | 3016 W Main St, Suite 200, Russellville, AR 72801-2453 |
| William Bruce Brown | Orthopedic Surgery | 3016 W Main St, Russellville, AR 72801-2453 | |
| Carajean F Loyd | Physical Therapy | Lane Physical Therapy Center, Inc | 3016 W Main St, Suite 200, Russellville, AR 72801-2453 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gina Anne Kersh | Registered Dietitian Or Nutrition Professional | 3205 W Main St, Russellville, AR 72801-2301 | |
| Melia R Robertson | Optometry | 3715 W Main St, Russellville, AR 72801-2311 | |
| Andrew M Monfee | Family Medicine | 3812 W Main St, Russellville, AR 72801-2314 | |
| Kenneth Gathright | Diagnostic Radiology | Radiologists of Russellville Pa | 3301 W Main Pl, Russellville, AR 72801-2334 |
| Ashley L Burnham | Diagnostic Radiology | Radiologists of Russellville Pa | 3301 W Main Pl, Russellville, AR 72801-2334 |
| Jim Lieblong | Optometry | 2800 W Main St, Russellville, AR 72801-2449 | |
| Thomas D. Underhill | Chiropractic | 2803 W Main St, Russellville, AR 72801-2470 | |
| Amy Melissa Pintado | Physician Assistant | Saint Marys Primary Care Network LLC | 2424 W Main St, Russellville, AR 72801-2531 |
| Danny J Aquilar | Podiatry | 2400 W Main St, Russellville, AR 72801-2531 | |
| Jamie Michelle Zimmerman | Nurse Practitioner | Saint Marys Primary Care Network LLC | 2424 W Main St, Russellville, AR 72801-2531 |
| Find all physicians in zip 72801 | |||
| City | RUSSELLVILLE |
| Zip Code | 72801 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | RUSSELLVILLE + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Darrell S Gray Jr..
| 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.