Active NPI
Dana Michelle Gregory, LMT, MTI, ATSI, BS
- Massage Therapist
- Killeen, TX
National Provider Identifier
1306382775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT108167
- Practice address
- 3700 S W S Young Dr Ste 110
Killeen, TX 76542-3416 - Phone
- (254) 415-7587
- NPI assigned
- Jan 10, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Preventive Medicine) Physician | 2083S0010X | MT108167 | TX | |
| Massage Therapist | 225700000X | MT108167 | TX | Primary |
Addresses
Primary practice location
3700 S W S Young Dr Ste 110
Killeen, TX 76542-3416
Mailing address
5405 Barkey CT
Killeen, TX 76542-4077
Phone (254) 289-6687
Other practice location 1
3809 S General Bruce Dr Ste 105A
Temple, TX 76502-1038
Phone (254) 295-0065
Other practice location 2
3010 E Business 190 Unit 112
Copperas Cove, TX 76522-2518
Phone (254) 238-8558
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT108167 | TX | MD | Sports Medicine (Preventive Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724198400000",
"number": "1306382775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5405 BARKEY CT",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765424077",
"telephone_number": "254-289-6687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 S W S YOUNG DR STE 110",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765423416",
"telephone_number": "254-415-7587"
}
],
"practiceLocations": [
{
"address_1": "3809 S General Bruce Dr Ste 105A",
"address_purpose": "LOCATION",
"city": "Temple",
"state": "TX",
"postal_code": "765021038",
"country_code": "US",
"telephone_number": "254-295-0065",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3010 E Business 190 Unit 112",
"address_purpose": "LOCATION",
"city": "Copperas Cove",
"state": "TX",
"postal_code": "765222518",
"country_code": "US",
"telephone_number": "254-238-8558",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREGORY",
"first_name": "DANA",
"middle_name": "MICHELLE",
"credential": "LMT, MTI, ATSI, BS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-10",
"last_updated": "2024-08-21",
"certification_date": "2024-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "2083S0010X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Sports Medicine",
"state": "TX",
"license": "MT108167",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TX",
"license": "MT108167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Killeen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.