Active NPI
Gracie Reid Hardy, LMT
- Massage Therapist
- North Chesterfield, VA
National Provider Identifier
1649835158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 0019008819
- Practice address
- 2505 Pocoshock PL Ste 203
North Chesterfield, VA 23235-6356 - Phone
- (804) 562-3943
- Fax
- (804) 562-8136
- NPI assigned
- May 9, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 0019008819 | VA | Primary |
Addresses
Primary practice location
2505 Pocoshock PL Ste 203
North Chesterfield, VA 23235-6356
Mailing address
2505 Pocoshock PL Ste 203
North Chesterfield, VA 23235-6356
Phone (804) 562-3943
Other names 1
- Ms. Gracie Mae Reid
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0019008819 | VA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557360000000",
"number": "1649835158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2505 POCOSHOCK PL STE 203",
"city": "NORTH CHESTERFIELD",
"state": "VA",
"postal_code": "232356356",
"telephone_number": "804-562-3943",
"fax_number": "804-562-8136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2505 POCOSHOCK PL STE 203",
"city": "NORTH CHESTERFIELD",
"state": "VA",
"postal_code": "232356356",
"telephone_number": "804-562-3943",
"fax_number": "804-562-8136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDY",
"first_name": "GRACIE",
"middle_name": "REID",
"name_prefix": "Mrs.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-09",
"last_updated": "2019-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "VA",
"license": "0019008819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GRACIE",
"last_name": "REID",
"middle_name": "MAE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in North Chesterfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.