Travis Jared Grangruth, BS, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

3694 Issued in MN

Practice address

5155 55TH St NW
Rochester, MN 55901-3855

Phone

(507) 535-1977

NPI assigned

Jun 8, 2026

Sex

Male

Sole proprietor

Yes

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Olmsted Medical Center

  • Clinic/Center
  • Rochester, MN
  • NPI 1952356297
  NPD (past)

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

{
    "created_epoch": "1780876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1598698474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 W 5TH ST",
            "city": "ZUMBROTA",
            "state": "MN",
            "postal_code": "559921157",
            "telephone_number": "612-964-5524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5155 55TH ST NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559013855",
            "telephone_number": "507-535-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANGRUTH",
        "first_name": "TRAVIS",
        "middle_name": "JARED",
        "credential": "BS, LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-06-08",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MN",
            "license": "3694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Peter Grande, M.D.
• Darlene Eileen Graner, M.A., CCC-SLP
• John L Graner, M.D.
• Laura M Graner
• Rebecca Ann Graner
• Abigail Granholm
• Heidi Lyn Granstrom
• Clive S Grant, M.D.
• Jennifer J Grant, MA
• Nyla Grantham

• Athletic Trainer in Rochester, MN
• Providers in Rochester, MN by specialty
• Athletic Trainer in Minnesota

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

Verify at the official NPI Registry.