Active NPI
Judy Gray Bentley, LMT
- Massage Therapist
- Madison, FL
National Provider Identifier
1235855545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA99225
- Practice address
- 178 SW Range Ave
Madison, FL 32340-2458 - Phone
- (185) 097-3899
- NPI assigned
- Oct 18, 2022
- 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 | MA99225 | FL | Primary |
Addresses
Primary practice location
178 SW Range Ave
Madison, FL 32340-2458
Mailing address
8404 N State Road 53
Madison, FL 32340-3536
Phone (850) 673-8070
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA99225 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666051200000",
"number": "1235855545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8404 N STATE ROAD 53",
"city": "MADISON",
"state": "FL",
"postal_code": "323403536",
"telephone_number": "850-673-8070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "178 SW RANGE AVE",
"city": "MADISON",
"state": "FL",
"postal_code": "323402458",
"telephone_number": "185-097-3899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENTLEY",
"first_name": "JUDY",
"middle_name": "GRAY",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-18",
"last_updated": "2022-10-18",
"certification_date": "2022-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA99225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.