| Shannon E Gray, PT, DPT | |
|
1971 Western Ave, Albany, NY 12203-5066 | |
| (518) 869-6220 | |
| (518) 869-6465 |
| Full Name | Shannon E Gray |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 15 Years |
| Location | 1971 Western Ave, Albany, New York |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992011282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 032975 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Green Room Physical Therapy Pllc | 2668887100 | 10 |
| Provider Name | Green Room Physical Therapy Pllc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1083154132 PECOS PAC ID: 2668887100 Enrollment ID: O20210216001798 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon E Gray, PT, DPT 1971 Western Ave, Albany, NY 12203-5066 Ph: (518) 869-6220 | Shannon E Gray, PT, DPT 1971 Western Ave, Albany, NY 12203-5066 Ph: (518) 869-6220 |
Jordan Iris Goslowski, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 900 Watervliet Shaker Rd, Suite 102, Albany, NY 12205 Phone: 518-862-4900 | |
Yuan Kenneth Jin, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 121 Everett Rd Ste 200, Albany, NY 12205 Phone: 518-489-2524 Fax: 518-489-3167 | |
Penelope M Blasch, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 314 S Manning Blvd, Albany, NY 12208 Phone: 518-453-2273 | |
Heather M. Lacasse, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 121 Everett Rd Health Park, Albany, NY 12205 Phone: 518-489-2524 Fax: 518-489-3167 | |
Marianna Vaysman, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 281 Sand Creek Rd, Albany, NY 12205 Phone: 518-459-1292 Fax: 518-459-1296 | |
Kimberly Silvernail Keane, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 314 S Manning Blvd, Albany, NY 12208 Phone: 518-453-2273 | |
Dr. Janel Lena Carver, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 80 Clinton Ave Apt 1, Albany, NY 12210 Phone: 914-299-9514 |