Misty Malott Ross, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA106918 Issued in FL

Practice address

4100 W Kennedy Blvd Ste 312
Tampa, FL 33609-2290

Phone

(813) 667-0988

NPI assigned

Apr 5, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1743811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743811200000",
    "number": "1992599047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 W KENNEDY BLVD STE 312",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 W KENNEDY BLVD STE 312",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092290",
            "telephone_number": "813-667-0988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1112 W Platt St",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336062142",
            "country_code": "US",
            "telephone_number": "813-667-0988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "MISTY",
        "middle_name": "MALOTT",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-05",
        "last_updated": "2025-04-05",
        "certification_date": "2025-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA106918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth David Ross, BA
• Lauren Ross I, MA
• Lynda M Ross, PT
• Meghan M Ross, M.D.
• Misty Dawn Ray Ross, LCSW
• Munazzah Habib Ross, MD
• Nathalia Ross I
• Robert William Ross, RN
• Sharona B Ross, MD
• Stephanie Costa Ross, OD

• Massage Therapist in Tampa, FL
• Providers in Tampa, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.

Verify at the official NPI Registry.