NICHOLAS GRAY (PT, DPT) – Physical Therapist, NPI 1528514072

NICHOLAS GRAY (PT, DPT) is a healthcare provider. based in Ellensburg, Washington. specializing in Physical Therapist. They hold the professional credentials PT, DPT. They hold a License No. PT60667233 (WA). The NPI Number for NICHOLAS GRAY (PT, DPT) is 1528514072

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLAS GRAY (PT, DPT)
NPI
1528514072
Phone
Not provided
Address
709 S MATTHEWS RD
Enumeration Date
25 August 2016
Last Update Date
25 August 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5099256220
Graduation Year
2016 (10 years ago)
PAC ID
6204112063
Group Practice PAC ID
3577786730
Professional Enrollment ID
I20170410000777
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

Provider Addresses for NICHOLAS GRAY (PT, DPT)

  • 709 S MATTHEWS RD

    ELLENSBURG, WA 989269015

    Phone:

    Type: Mailing

  • 100 E JACKSON AVE

    SUITE 201

    ELLENSBURG, WA 989263692

    Phone: (509) 925-6220

    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: 2017-04-10

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
I20170410000777IPhysical 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,496117$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes1,013101$0
97530Therapy procedure using functional activities68485$0
97140Therapy procedure using manual technique, each 15 minutes23162$0
97161Evaluation for physical therapy, typically 20 minutes10294$0
View full utilization report →

Insurance plans in this area (ZIP 98926)

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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: 3577786730View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNV
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeWA
-CO
Physical Therapist In Private PracticeWA
-WA

Reviews

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Frequently asked questions

How do payers reference NICHOLAS GRAY (PT, DPT)?
For NICHOLAS GRAY (PT, DPT), use NPI 1528514072 as the unique 10-digit identifier.
Is there an active status for NICHOLAS GRAY (PT, DPT)?
For scheduling context, NICHOLAS GRAY (PT, DPT) is shown as active in the registry.
How would a patient describe NICHOLAS GRAY (PT, DPT)'s focus?
For NICHOLAS GRAY (PT, DPT), the primary taxonomy reads as Physical Therapist. Clinical services aligned with this taxonomy classification.
What locale is associated with NICHOLAS GRAY (PT, DPT)?
Directory geography for NICHOLAS GRAY (PT, DPT) centers on Ellensburg, Washington.
When was this NPI issued?
Enumeration for NICHOLAS GRAY (PT, DPT) is noted as August 25, 2016 where the registry provides it.

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