Active NPI
Anita Gray, LMT, CMLDT
- Massage Therapist
- Minneola, FL
National Provider Identifier
1871223388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA104865
- Practice address
- 600 N Highway 27 Ste 4
Minneola, FL 34715-6265 - Phone
- (814) 881-5231
- NPI assigned
- Jun 16, 2022
- 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 | MA104865 | FL | Primary |
Addresses
Primary practice location
600 N Highway 27 Ste 4
Minneola, FL 34715-6265
Mailing address
203 E Baker St
Minneola, FL 34715-7427
Phone (814) 881-5231
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 |
|---|---|---|---|
| MSG006729 | PA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780876800000",
"number": "1871223388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 E BAKER ST",
"city": "MINNEOLA",
"state": "FL",
"postal_code": "347157427",
"telephone_number": "814-881-5231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N HIGHWAY 27 STE 4",
"city": "MINNEOLA",
"state": "FL",
"postal_code": "347156265",
"telephone_number": "814-881-5231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "ANITA",
"credential": "LMT, CMLDT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-16",
"last_updated": "2026-06-08",
"certification_date": "2026-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA104865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.