Mark Gregory, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

LA9846 Issued in LA

Practice address

1603 Boone St Ste C
Leesville, LA 71446-5780

Phone

(337) 718-6517

NPI assigned

Sep 26, 2023

Last updated

Sep 26, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mark's Effectual Massage Experience

  dba MEME Massage & Bodywork

  • Massage Therapist
  • Leesville, LA
  • NPI 1770395097
  Authorized official Same address or phone

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1437938784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 MAYO ST",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714463058",
            "telephone_number": "337-718-6517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 BOONE ST STE C",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714465780",
            "telephone_number": "337-718-6517"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Mayo St",
            "address_purpose": "LOCATION",
            "city": "Leesville",
            "state": "LA",
            "postal_code": "714463058",
            "country_code": "US",
            "telephone_number": "337-718-6517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "MARK",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "LA",
            "license": "LA9846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Great River Orthopedic and Sports Medicine Center, Inc. (Advanced Orthopedics and Sports Medicine)
• Great South Management LLC (Deep South Chiropractic Clinic 2)
• Erika Ashlyn Greco
• Beatrice Jordanna Green, RBT
• Emily Suzanne Greer, M.S., CCC-SLP
• Kathleen Mary Gresham
• Christine M Guidroz, RN,MSN,FNP
• Danielle Alexandria Gulley
• Samantha Hall
• Stephanie S Hamilton, BS

• Massage Therapist in Leesville, LA
• Providers in Leesville, LA by specialty
• Massage Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.