Active NPI
Tammy J Grant, LMT
- Massage Therapist
- Avon Park, FL
National Provider Identifier
1821304635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA 49358
- Practice address
- 1116 Billy Martin Rd
Avon Park, FL 33825-4858 - Phone
- (863) 453-0684
- Fax
- (863) 453-2873
- NPI assigned
- Aug 31, 2010
- Sex
- Female
- Sole proprietor
- No
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 | MA 49358 | FL | Primary |
Addresses
Primary practice location
1116 Billy Martin Rd
Avon Park, FL 33825-4858
Mailing address
1116 Billy Martin Rd
Avon Park, FL 33825-4858
Phone (863) 453-0684
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 |
|---|---|---|---|
| MA 49358 | FL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vickers Chiropractic Health Centers PA | Massage Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283212800000",
"number": "1821304635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1116 BILLY MARTIN RD",
"city": "AVON PARK",
"state": "FL",
"postal_code": "338254858",
"telephone_number": "863-453-0684",
"fax_number": "863-453-2873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1116 BILLY MARTIN RD",
"city": "AVON PARK",
"state": "FL",
"postal_code": "338254858",
"telephone_number": "863-453-0684",
"fax_number": "863-453-2873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT",
"first_name": "TAMMY",
"middle_name": "J",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-31",
"last_updated": "2010-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA 49358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Avon Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.