Active NPI
Denise Minette Gregory, LMT
- Massage Therapist
- Lakeland, FL
National Provider Identifier
1770872939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA53792
- Practice address
- 112 E Pine St
Lakeland, FL 33801-4965 - Phone
- (863) 640-7596
- NPI assigned
- Mar 28, 2011
- Last updated
- Mar 28, 2011
- 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 | MA53792 | FL | Primary |
Addresses
Primary practice location
112 E Pine St
Lakeland, FL 33801-4965
Mailing address
1641 Huntington St
Lakeland, FL 33801-5935
Phone (863) 640-7596
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 |
|---|---|---|---|
| MA53792 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301270400000",
"number": "1770872939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1641 HUNTINGTON ST",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338015935",
"telephone_number": "863-640-7596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 E PINE ST",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338014965",
"telephone_number": "863-640-7596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREGORY",
"first_name": "DENISE",
"middle_name": "MINETTE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-28",
"last_updated": "2011-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA53792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.