Active NPI
Tracey Grey, MMT, MLD-C, LMBT
- Massage Therapist
- Charlotte, NC
National Provider Identifier
1265240709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 15338
- Practice address
- 3623 Latrobe Dr Ste 110J
Charlotte, NC 28211-1187 - Phone
- (704) 325-8002
- NPI assigned
- Dec 30, 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 | 15338 | NC | Primary |
Addresses
Primary practice location
3623 Latrobe Dr Ste 110J
Charlotte, NC 28211-1187
Mailing address
3623 Latrobe Dr Ste 110J
Charlotte, NC 28211-1187
Phone (704) 325-8002
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 |
|---|---|---|---|
| 15338 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765152000000",
"number": "1265240709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3623 LATROBE DR STE 110J",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282111187",
"telephone_number": "704-325-8002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3623 LATROBE DR STE 110J",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282111187",
"telephone_number": "704-325-8002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREY",
"first_name": "TRACEY",
"name_prefix": "Ms.",
"credential": "MMT, MLD-C, LMBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-30",
"last_updated": "2025-12-08",
"certification_date": "2025-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NC",
"license": "15338",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.