Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Tyler Andrew Gray, CPO

Individual provider Prosthetist · NPI 1043087869

Mr. Tyler Andrew Gray, CPO is a Prosthetist in Martinsville, Virginia. Licensed in Virginia. Registered with an NPI since 2023.

Licensed in
VA
In the registry since
2023
Specialties on file
2

Practice location Address checks out

445 Commonwealth Blvd E
Martinsville, VA 24112-2086
Phone: (276) 634-5690
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthotist (primary) Taxonomy 222Z00000X · Licence CPO04879 (VA)
Prosthetist Taxonomy 224P00000X · Licence CPO04879 (VA)

Record details

NPI number1043087869
Entity typeIndividual (Type 1)
GenderMale
Credentials CPO
Sole proprietorNo
NPI enumeratedDecember 11, 2023
Last updated in NPPESDecember 11, 2023
Certification dateDecember 11, 2023

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