Active NPI
Jody Lynn Gregg, LMT
- Massage Therapist
- Fruitport, MI
National Provider Identifier
1407095086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 7501000434
- Practice address
- 400 N 3Rd Ave
Fruitport, MI 49415-9774 - Phone
- (231) 747-9163
- Fax
- (231) 247-0700
- NPI assigned
- Feb 5, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | MI | ||
| Physical Rehabilitation Occupational Therapist | 225XP0019X | MI | ||
| Massage Therapist | 225700000X | 7501000434 | MI | Primary |
Addresses
Primary practice location
400 N 3Rd Ave
Fruitport, MI 49415-9774
Mailing address
400 N 3Rd Ave
Fruitport, MI 49415-9774
Phone (616) 890-7294
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 640RX PLC | Mechanotherapist | Current | Accepting new patients |
| Therapeutic Body Shoppe, LLC | Mechanotherapist | Past | Accepting new patients |
Locations
400 N 3rd Ave
Fruitport, MI 49415
Phone (231) 747-9163
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786752000000",
"number": "1407095086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 N 3RD AVE",
"city": "FRUITPORT",
"state": "MI",
"postal_code": "494159774",
"telephone_number": "616-890-7294",
"fax_number": "231-247-0700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N 3RD AVE",
"city": "FRUITPORT",
"state": "MI",
"postal_code": "494159774",
"telephone_number": "231-747-9163",
"fax_number": "231-247-0700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREGG",
"first_name": "JODY",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-05",
"last_updated": "2026-08-15",
"certification_date": "2026-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MI",
"license": "7501000434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fruitport, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.