Active NPI
Danielle Graydon, ATC, CSCS
- Athletic Trainer
- Fort Pierce, FL
National Provider Identifier
1013831064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT004911
- Practice address
- 3209 Virginia Ave
Fort Pierce, FL 34981-5541 - Phone
- (772) 462-4772
- NPI assigned
- Aug 4, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AL732 | FL | |
| Athletic Trainer | 2255A2300X | AT004911 | GA | Primary |
Addresses
Primary practice location
3209 Virginia Ave
Fort Pierce, FL 34981-5541
Mailing address
3957 SW Helmlinger St
Port St Lucie, FL 34953-7713
Phone (561) 723-7633
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788825600000",
"number": "1013831064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3957 SW HELMLINGER ST",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349537713",
"telephone_number": "561-723-7633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3209 VIRGINIA AVE",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349815541",
"telephone_number": "772-462-4772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAYDON",
"first_name": "DANIELLE",
"credential": "ATC, CSCS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-08-04",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "FL",
"license": "AL732",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "GA",
"license": "AT004911",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Pierce, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.