Riley Grasser-Hemer, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

3437 Issued in MN

Practice address

1000 W 140TH St Unit 201
Burnsville, MN 55337-4833

Phone

(952) 808-3000

NPI assigned

Nov 19, 2018

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1542585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1609345735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 75TH ST",
            "city": "AMERY",
            "state": "WI",
            "postal_code": "540015307",
            "telephone_number": "715-554-1780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W 140TH ST UNIT 201",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374833",
            "telephone_number": "952-808-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Kenwood Ave",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558114199",
            "country_code": "US",
            "telephone_number": "800-447-5444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRASSER-HEMER",
        "first_name": "RILEY",
        "credential": "LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-19",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MN",
            "license": "3437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Amanda Marie Graves, PT, DPT, CLT
• Kristen Nicole Graves, D.C.
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• Jeanine M. Gray, PTA
• Great Northern Health Products Co

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.