KATIE GRAY M.S.
NPI 1245058890
Speech-Language Pathologist in Eagle, ID

Active since October 02, 2024
935 E WINDING CREEK DRIVE, SUITE 120, EAGLE, ID 83616(208) 938-4748(208) 938-1710 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Katie Gray M.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATIE GRAY M.S. (NPI 1245058890) is an individual speech-language pathologist provider in Eagle, Idaho, licensed in Idaho (8461379) and active in the NPI registry since October 2024. She is a graduate of Other (2024).

NPPES Registry Identity

NPI1245058890
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKATIE GRAYCredential: M.S.
Location Address935 E WINDING CREEK DRIVE, SUITE 120Eagle, ID 83616
Mailing Address935 E Winding Creek Drive, Suite 120Eagle, ID 83616 · (208) 938-4748 · Fax (208) 938-1710
Fax(208) 938-1710
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 2, 2024
✔ NPI 1245058890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in ID · 8461379
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
935 E WINDING CREEK DRIVE, Eagle, ID 83616

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katie Gray M.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830657097
PECOS Enrollment IDI20260818002550

Medicare Billing Reassignment

Medicare enrollment records show Katie Gray reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
7201 W CLEARWATER AVE STE B101
Kennewick, WA 99336
  • Reassigned Medicare billing, Idaho enrollment
  • 21 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
935 E WINDING CREEK DRIVE, SUITE 120
EAGLE, ID 83616

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katie Gray's NPI number?

The NPI number for Katie Gray is 1245058890. It was assigned to this individual provider in the NPPES registry on October 2, 2024.

Where is Katie Gray located?

Katie Gray practices at 935 E Winding Creek Drive Suite 120, Eagle, ID 83616. The listed phone number is (208) 938-4748.

What is Katie Gray's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Katie Gray enrolled in Medicare?

Yes. Katie Gray is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Katie Gray's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katie Gray reassigns Medicare benefits to Columbia Physical Therapy Inc Ps (Kennewick, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katie Gray's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katie Gray accept?

Health plans from Molina Healthcare, PacificSource Health Plans and Select Health list Katie Gray as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Katie Gray was last updated on October 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.