Ethan Ryder Gray
NPI 1447085022ActiveIndividual· Physical Therapist· Travelers Rest, SC
Physical Therapist with Greenville Proaxis Therapy LLC and 1 other group, practicing in Travelers Rest, South Carolina. Medicare paid $20,905 for services to 69 patients in 2024.
Overview
| NPI | 1447085022 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Sep 4, 2024 |
| Last updated in NPPES | Sep 4, 2024 |
| Certified by provider | Sep 4, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (SC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 69 |
|---|---|
| Services billed | 1,002 across 7 procedure codes |
| Paid by Medicare | $20,905 |
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- Greenville Proaxis Therapy LLCGreenville, SC · 224 clinicians
- Rehab and Industrial Services LLCElko, NV · 3 clinicians
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All 19 physical therapists in Travelers Rest · All physical therapists in South Carolina