Active NPI
Razan Gregory
- Massage Therapist
- Cary, NC
National Provider Identifier
1215790753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 16264
- Practice address
- 1310 SE Maynard Rd Ste 204-a
Cary, NC 27511-3615 - Phone
- (919) 443-5068
- NPI assigned
- Feb 6, 2024
- Last updated
- Feb 6, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 16264 | NC | Primary |
Addresses
Primary practice location
1310 SE Maynard Rd Ste 204-a
Cary, NC 27511-3615
Mailing address
1719 E Cornwallis Rd Apt H
Durham, NC 27713-1456
Phone (202) 300-3104
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707177600000",
"number": "1215790753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1719 E CORNWALLIS RD APT H",
"city": "DURHAM",
"state": "NC",
"postal_code": "277131456",
"telephone_number": "202-300-3104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 SE MAYNARD RD STE 204-A",
"city": "CARY",
"state": "NC",
"postal_code": "275113615",
"telephone_number": "919-443-5068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREGORY",
"first_name": "RAZAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-06",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NC",
"license": "16264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.