Shelbi Grant, CPT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

T283421 Issued in MI

Practice address

3770 Dixie Hwy
Waterford, MI 48329-4289

Phone

(248) 383-8117

NPI assigned

Oct 16, 2023

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": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1093597049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6680 COOLIDGE HWY",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480981932",
            "telephone_number": "810-288-1571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3770 DIXIE HWY",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483294289",
            "telephone_number": "248-383-8117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "SHELBI",
        "credential": "CPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "T283421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Gouza
• Theodore John Gozdzialski, RN
• Graceful Living, Reinventing in-Home Senior Care
• Shawn Graham, LPC
• Aubrey Anne Grant, MA, LPC
• David Lashawn Graves
• Kateri Gray, LLMSW
• Samuel Adam Gray, DC
• Great Lakes Clinical Group, P.C
• Great Lakes Neuromonitoring, PLLC

• Athletic Trainer in Waterford, MI
• Providers in Waterford, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.