Nicole Carli Gray, DPT in South Ogden, UT - Medicare Physical Therapist In Private Practice Provider

Nicole Carli Gray, DPT is a medicare enrolled "Physical Therapist" provider in South Ogden, Utah. She graduated from medical school in 2020 and has 5 years of diverse experience with area of expertise as Physical Therapist In Private Practice. She is a member of the group practice Bridge Physical Therapy Llc and her current practice location is 6017 Fashion Point Dr, South Ogden, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 317-1618.

Nicole Carli Gray is licensed to practice in Utah (license number 11805453-8016) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1750998316.

Contact Information

	Nicole Carli Gray, DPT
	6017 Fashion Point Dr, South Ogden, UT 84403-4851
	(801) 317-1618
	(801) 459-3707

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole Carli Gray
Gender	Female
Speciality	Physical Therapist In Private Practice
Experience	5 Years
Location	6017 Fashion Point Dr, South Ogden, Utah
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nicole Carli Gray graduated from medical school in 2020

NPI Data:

NPI Number: 1750998316
Provider Enumeration Date: 09/28/2020
Last Update Date: 07/17/2025

Medicare PECOS Information:

PECOS PAC ID: 9638548779
Enrollment ID: I20221212001277

Medical Identifiers

Medical identifiers for Nicole Carli Gray such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750998316	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	11805453-8016 (Utah)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Bridge Physical Therapy Llc	9931456175	3

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicole Carli Gray allows following entities to bill medicare on her behalf.

Provider Name	Sundance Physical Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1932265758 PECOS PAC ID: 8729067236 Enrollment ID: O20040719000256

Provider Name	Bridge Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1972005791 PECOS PAC ID: 9931456175 Enrollment ID: O20180719001840

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Carli Gray is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Nicole Carli Gray, DPT 5375 S 300 E, Washington Terrace, UT 84405-6941 Ph: (801) 726-9126	Nicole Carli Gray, DPT 6017 Fashion Point Dr, South Ogden, UT 84403-4851 Ph: (801) 317-1618

Reviews and Comments

Physical Therapist in South Ogden, UT

Mr. Stephen Reese Spencer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5734 S 1475 E, #300, South Ogden, UT 84403 Phone: 801-475-7628 Fax: 801-475-7639
Benjamin Cabal, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6017 Fashion Point Dr, South Ogden, UT 84403 Phone: 925-621-9099
Makina Todd, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5856 Harrison Blvd Ste A, South Ogden, UT 84403 Phone: 801-475-6415
Kaitlyn Owen, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1710 E 5600 S, South Ogden, UT 84403 Phone: 801-689-2546
Krace Conner Maw, Physical Therapist Medicare: Medicare Enrolled Practice Location: 5856 Harrison Blvd Ste A, South Ogden, UT 84403 Phone: 801-475-6415
Brent Webb, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1452 E Ridgeline Dr, #51, South Ogden, UT 84405 Phone: 801-479-5777 Fax: 801-479-7005
Jim Felt P.t., Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5734 South 1475 East, #300, South Ogden, UT 84403 Phone: 801-475-7628 Fax: 801-475-7639

Nicole Carli Gray, DPT - Medicare Physical Therapist in South Ogden, UT