Thomas Greffly, ATC LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

36003003A Issued in IN

Practice address

2004 Waterford CT Apt B
Crawfordsville, IN 47933-3288

Phone

(630) 995-6707

NPI assigned

Jun 26, 2018

Last updated

Jun 26, 2018By the provider in NPPES

Sex

Male

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": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1265927883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 WATERFORD CT APT B",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479333288",
            "telephone_number": "630-995-6707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 WATERFORD CT APT B",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479333288",
            "telephone_number": "630-995-6707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREFFLY",
        "first_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "ATC LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-26",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IN",
            "license": "36003003A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Gonzales Zenon
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• Kyle Robert Graper, M.D.
• Sarah Gray
• Greater Lafayette Health Services (Montgomery County Dialysis)
• Victoria Gregory, DC, MS
• Anna Grimes, RBT
• Tim V Grino
• H.O.P.E. Counseling Services
• Kayla Hadley

• Athletic Trainer in Crawfordsville, IN
• Providers in Crawfordsville, IN by specialty
• Athletic Trainer in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; 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.