MRS. SHANNA RAE GRAY RPT
NPI 1750589081
Physical Therapist - Pediatrics in Shawnee, OK

Active since July 09, 2007
4010 BLAINE RD, SHAWNEE, OK 74804(405) 833-2749 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Shanna Rae Gray Rpt NPPES

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

MRS. SHANNA RAE GRAY RPT (NPI 1750589081) is an individual pediatrics provider in Shawnee, Oklahoma, licensed in Oklahoma (PT1801) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1750589081
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameMRS. SHANNA RAE GRAYCredential: RPT
Location Address4010 BLAINE RDShawnee, OK 74804-1626
Mailing Address4010 Blaine RdShawnee, OK 74804-1626 · (405) 833-2749
Sole ProprietorYes
Enumeration DateJuly 9, 2007
✔ NPI 1750589081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License✔ Licensed in OK · PT1801
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
4010 BLAINE RD, Shawnee, OK 74804

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)

Mrs. Shanna Rae Gray Rpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Clinic/Center
12301 S WESTERN AVE STE A3
Oklahoma City, OK 73170
  • Reassigned Medicare billing, Oklahoma enrollment
  • 31 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.

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 Shanna Gray's NPI number?

The NPI number for Shanna Gray is 1750589081. It was assigned to this individual provider in the NPPES registry on July 9, 2007.

Where is Shanna Gray located?

Shanna Gray practices at 4010 Blaine Rd, Shawnee, OK 74804. The listed phone number is (405) 833-2749.

What is Shanna Gray's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

Is Shanna Gray enrolled in Medicare?

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

Which organization bills Medicare for Shanna Gray's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shanna Gray reassigns Medicare benefits to Athletico Ltd (Oklahoma City, OK). 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 Shanna Gray's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shanna Gray accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Shanna 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 Shanna Gray was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.