Patricia L Gruber, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA47190 Issued in FL

Practice address

4419 S Florida Ave
Suite #4
Lakeland, FL 33813-2247

Phone

(863) 646-3014

Fax

(863) 646-3014

NPI assigned

Jul 1, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Pat Gruber Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247702400000",
    "number": "1295963023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5599 SUMMERLAND HILLS DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338126375",
            "telephone_number": "863-646-6751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4419 S FLORIDA AVE",
            "address_2": "SUITE #4",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132247",
            "telephone_number": "863-646-3014",
            "fax_number": "863-646-3014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUBER",
        "first_name": "PATRICIA",
        "middle_name": "L",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-01",
        "last_updated": "2009-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA47190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAT",
            "last_name": "GRUBER",
            "credential": "LMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lynell Groover
• Marlon Jermaine Groover, PARAMEDIC
• Makayla Groth
• Grow Lakeland, LLC
• Angela D Grubb, ARNP
• Imran Gruhonjic, DO
• William Guadalupe
• Narciza Cristina Guamba, RBT-24-383491
• Manuel Alberto Guerra, RBT
• Brooklyn Mougey Guerrero

• Massage Therapist in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.