Active NPI
Micheala Keisha Grant, LMT
- Massage Therapist
- Charlotte, NC
National Provider Identifier
1730077207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 16587
- Practice address
- 8001 Raintree LN Ste 213
Charlotte, NC 28277-8919 - Phone
- (757) 676-1313
- NPI assigned
- Jun 25, 2025
- 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 | 16587 | NC | Primary |
Addresses
Primary practice location
8001 Raintree LN Ste 213
Charlotte, NC 28277-8919
Mailing address
8001 Raintree LN Ste 213
Charlotte, NC 28277-8919
Phone (757) 676-1313
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 |
|---|---|---|---|
| 16587 | NC | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750809600000",
"number": "1730077207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8001 RAINTREE LN STE 213",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282778919",
"telephone_number": "757-676-1313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8001 RAINTREE LN STE 213",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282778919",
"telephone_number": "757-676-1313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT",
"first_name": "MICHEALA",
"middle_name": "KEISHA",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-25",
"last_updated": "2025-06-25",
"certification_date": "2025-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NC",
"license": "16587",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.