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

Individual provider Physical Therapist · NPI 1538744750

Sydelle Marra Gray, DPT is a Physical Therapist in Private Practice in Saint Louis, Missouri. Qualified in 2020, 6 years ago. Practices with Central Missouri Physical Therapy LLC, a 53-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
6
Licensed in
MO
In the registry since
2021
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

12608 Lamplighter Square Shopping Ctr
Saint Louis, MO 63128
Phone: (314) 842-4222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2021006177 (MO)

Record details

NPI number1538744750
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorYes
NPI enumeratedMarch 10, 2021
Last updated in NPPESMarch 10, 2021
Certification dateFebruary 21, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Central Missouri Physical Therapy Llc — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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