SPENCER GRAY – Physical Therapist, NPI 1265298525

SPENCER GRAY is a healthcare provider. based in Joshua tree, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. PTO32046 (PA). The NPI Number for SPENCER GRAY is 1265298525

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
SPENCER GRAY
NPI
1265298525
Phone
Not provided
Address
61962 SUNBURST CIR
Enumeration Date
26 February 2024
Last Update Date
26 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7603671743
Graduation Year
2023 (3 years ago)
PAC ID
1355883554
Group Practice PAC ID
3678465564
Professional Enrollment ID
I20240603003648
Address ID
CA922772356TW5930XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

9,522 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for SPENCER GRAY

  • 61962 SUNBURST CIR

    JOSHUA TREE, CA 922522622

    Phone:

    Type: Mailing

  • 5930 ADOBE RD

    TWENTYNINE PALMS, CA 922772356

    Phone: (760) 367-1743

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-06-03

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240603003648IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92252)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678465564View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMA
Qualified Speech Language PathologistCA
-CA
-IN
Physical Therapist In Private PracticeAZ
Occupational Therapist In Private PracticeCA
Physical Therapist In Private PracticeMA
-CA
Physical Therapist In Private PracticeCA
-MI

Reviews

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Frequently asked questions

How do payers reference SPENCER GRAY?
For SPENCER GRAY, use NPI 1265298525 as the unique 10-digit identifier.
Is SPENCER GRAY shown as active in public data?
Registry records indicate SPENCER GRAY maintains an active NPI.
How would a patient describe SPENCER GRAY's focus?
For SPENCER GRAY, the primary taxonomy reads as Physical Therapist. Clinical services aligned with this taxonomy classification.
Is SPENCER GRAY associated with Joshua Tree?
Public fields place SPENCER GRAY around Joshua Tree, California. Always confirm the exact site before visiting.
Can I trust this NPI listing for SPENCER GRAY?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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