Michael Peter Gray

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

7916 Issued in NH

Practice address

415 Marlboro St
Keene, NH 03431-4310

Phone

(603) 606-0487

NPI assigned

Apr 13, 2021

Last updated

Apr 13, 2021By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Functional Wellness LLC

  • Clinic/Center
  • Keene, NH
  • NPI 1457290710
  NPD Authorized official

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1558941690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 ROSEWOOD LN",
            "city": "SPOFFORD",
            "state": "NH",
            "postal_code": "034624419",
            "telephone_number": "603-606-0487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 MARLBORO ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034314310",
            "telephone_number": "603-606-0487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "MICHAEL",
        "middle_name": "PETER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-13",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NH",
            "license": "7916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Functionalwellnessnh@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "415 Marlboro St",
            "city": "Keene",
            "state": "NH",
            "country_code": "US",
            "postal_code": "034314310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael A Grabach, CRNA
• F. Patrick Grady, ED.D.
• Vance Edward Grant, R.PH.
• Michelle N Graves
• Erika Elizabeth Gray
• Green Light Physical Therapy LLC
• Joshua J Green, PHD
• Jennifer Lynn Greenstone, BA
• Elizabeth Greenwood, MS/CCC/SLP
• Melanie Suzzette Greenwood, MPT

• Massage Therapist in Keene, NH
• Providers in Keene, NH by specialty
• Massage Therapist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; 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.