Individual provider Active NPI

Dana Michelle Gregory, LMT, MTI, ATSI, BS

  • Massage Therapist
  • Killeen, TX
National Provider Identifier
1306382775
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT108167 Issued in TX
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

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
MT108167TXMDSports 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.

Verify at the official NPI Registry.