KELLY GRAYSON (NPI# 1780220046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780220046 |
| Entity Type | Individual |
| Full Name | KELLY GRAYSON |
| Practice Address |
1300 E Washington Center Rd Fort Wayne IN 46825-4556 |
| Mailing Address |
1935 Bear Paw Dr Fort Wayne IN 46815-7925 |
| Practice Telephone | 2604964700 |
| Mailing Telephone | 2602713693 |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2019-11-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437406360 | Kelly Anne Grayson | Occupational Therapy Assistant | 3802 N 91st Ave, Phoenix, AZ 85037-2368 | 2012-08-09 |
| Street Address |
1300 E WASHINGTON CENTER RD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46825-4556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336772078 | Bradley Murphy | Occupational Therapist | 2626 St Joe Center Ed, Fort Wayne, IN 46825 | 2020-02-21 |
| 1144851015 | Sabryna Roman | Developmental Therapist | 2626 St Joe Center Rd, Fort Wayne, IN 46825 | 2020-01-30 |
| 1205474103 | Ashleigh Miller | Developmental Therapist | 2626 St. Joe Center Rd, Fort Wayne, IN 46825 | 2019-12-11 |
| 1962055152 | Carehalo Ohio LLC | General Practice | 2510 Dupont Circle Dr., Suite 201, Fort Wayne, IN 46825 | 2019-07-17 |
| 1306318175 | Logan Alan Williams | Nurse Anesthetist, Certified Registered | 10315 Dawsons Creek Blvd Ste B, Fort Wayne, IN 46825 | 2018-12-18 |
| 1326582925 | Mark F Stoner LLC | Dentist | 9830 Auburn Rd Suite 102, Fort Wayne, IN 46825 | 2016-12-15 |
| 1336695782 | Nadine Rene' Handy | Nurse Practitioner | 3978 New Vision Dr., Fort Wayne, IN 46825 | 2016-08-26 |
| 1558815712 | Nathan Paul Miller | Physical Therapist | 10006 Auburn Park Dr, Fort Wayne, IN 46825 | 2016-08-05 |
| 1013366905 | Brianna Abbott | Physician Assistant | 1234 E Dupont Rd Ste 7, Fort Wayne, IN 46825 | 2016-06-10 |
| 1003276643 | Seiss, LLC | Psychologist | 9910 Dupont Circle Drive, Suite 140, Fort Wayne, IN 46825 | 2016-02-24 |
| Find all providers in zip 46825 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699308700 | Jennifer N Peppler | Specialist/Technologist | 3434 Kirkfield Dr, Fort Wayne, IN 46815-5972 | 2020-02-17 |
| 1710519392 | Mitchell Mckay Enyart | Specialist/Technologist | 1617 Randford Pl, Fort Wayne, IN 46815-7635 | 2020-02-11 |
| 1003448671 | Chelsea L Harrison | Specialist/Technologist | 6716 Ramblewood Ct Apt L, Fort Wayne, IN 46835-1760 | 2020-02-11 |
| 1457983223 | Kayla Grotrian | Specialist/Technologist | 5440 Evard Rd, Fort Wayne, IN 46835-1796 | 2020-02-10 |
| 1730711680 | Danielle Rebecca Patton | Specialist/Technologist | 13303 Hawks View Blvd, Fort Wayne, IN 46845-8726 | 2020-02-09 |
| 1265093280 | Emily Maria Giorgi | Specialist/Technologist | 2101 E Coliseum Blvd Ste 100, Fort Wayne, IN 46805-1499 | 2019-06-21 |
| 1194209791 | Autumn Brooke Meece | Specialist/Technologist | 5801 Meadows Dr Apt E, Fort Wayne, IN 46804-7639 | 2018-09-19 |
| 1407358377 | Bryan Black | Specialist/Technologist | 3946 Ice Way Fort Wayne, Fort Wayne, IN 46808 | 2018-03-06 |
| 1275049686 | Julianna Davis | Specialist/Technologist | 615 Vance Ave, Fort Wayne, IN 46805-2143 | 2017-12-20 |
| 1194235408 | Mitchell Kory Meyer | Specialist/Technologist | 9125 Yellow Tree Ct, Fort Wayne, IN 46804 | 2017-10-02 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46825 |
Please comment or provide details below to improve the information on KELLY GRAYSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.