Joni Rae Grayson, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MAS-4085 Issued in ID

Practice address

1104 N 4TH St Ste B
Coeur D Alene, ID 83814-3217

Phone

(208) 292-4873

Fax

(208) 292-4875

NPI assigned

Sep 25, 2023

Sex

Female

Sole proprietor

No

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

Practice roles

Locations

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.

• Logan C Martin PC

  • Chiropractor
  • Coeur d'Alene, ID
  • NPI 1477811750
  NPD

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1437938875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 N 4TH ST STE B",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838143217",
            "telephone_number": "208-292-4873",
            "fax_number": "208-292-4875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 N 4TH ST STE B",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838143217",
            "telephone_number": "208-292-4873",
            "fax_number": "208-292-4875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAYSON",
        "first_name": "JONI",
        "middle_name": "RAE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ID",
            "license": "MAS-4085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taryn Michelle Grattic, PA
• Luke Jonathan Grauke, MD
• Sara Gray, M.ED., CADC
• Monica Graybeal, PHA
• Paul A Grayhek, LCSW
• Anastacia Green
• Christopher Winslow Green, LCSW
• Kerry M Green, LCPC
• Leslie Green, LMT
• Margaret Marie Green, PSYD

• Massage Therapist in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Massage Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.