TIMOTHY GRAY (DPT) – Physical Therapist, NPI 1124707971

TIMOTHY GRAY (DPT) is a healthcare provider. based in Seattle, Washington. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. The NPI Number for TIMOTHY GRAY (DPT) is 1124707971

Main info

Male
3 Years Of Experience
Name
TIMOTHY GRAY (DPT)
NPI
1124707971
Phone
(206) 466-1918
Address
1124 COLUMBIA ST STE P100
Enumeration Date
17 July 2023
Last Update Date
20 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2064661918
Graduation Year
2023 (3 years ago)
PAC ID
0648705343
Group Practice PAC ID
4880950674
Professional Enrollment ID
I20241118003653
Address ID
WA981042026SE1124XSTXX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness85
Years active:2State licenses:0Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

Provider Addresses for TIMOTHY GRAY (DPT)

  • 1124 COLUMBIA ST STE P100

    SEATTLE, WA 981042026

    Phone: (206) 466-1918

    Mailing address matches the actual address.

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: 2024-11-18

PECOS data refreshed: 2026-05-27

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
I20241118003653IPhysical Therapist In Private PracticeWATBD

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 98104)

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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: 4880950674View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeID
-WA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
-WA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA

Reviews

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Frequently asked questions

What NPI should I save for TIMOTHY GRAY (DPT)?
Save NPI 1124707971 if you need a stable reference for TIMOTHY GRAY (DPT).
Is TIMOTHY GRAY (DPT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is TIMOTHY GRAY (DPT)?
The page reflects Physical Therapist for TIMOTHY GRAY (DPT). Clinical services aligned with this taxonomy classification.
Does TIMOTHY GRAY (DPT) practice in Washington?
You will see Seattle, Washington on file for TIMOTHY GRAY (DPT) alongside any extra practice locations.
What if Seattle, Washington seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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