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

Vanessa Anne Gray, PTA

Individual provider Physical Therapy Assistant · NPI 1013588169

Vanessa Anne Gray, PTA is a Physical Therapy Assistant in Meridian, Idaho. Licensed in Idaho. Registered with an NPI since 2021.

Licensed in
ID
In the registry since
2021
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

5453 N Mitchum Ave
Meridian, ID 83646-0004
Phone: (503) 869-6843
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 5287 (ID)

Record details

NPI number1013588169
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedJuly 8, 2021
Last updated in NPPESJuly 8, 2021
Certification dateJune 21, 2021
Mailing address5453 N Mitchum Ave, Meridian, ID 83646-0004

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