Courtney Mae Gramley, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT6939 Issued in TX

Practice address

1201 Wesleyan St.
Fort Worth, TX 76105

Phone

(309) 826-8892

NPI assigned

Apr 19, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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": "1524096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524096000000",
    "number": "1609363100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3617 VIENNE PL APT 2104",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762449662",
            "telephone_number": "309-826-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 WESLEYAN ST.",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76105",
            "telephone_number": "309-826-8892"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4401 Park Springs Blvd # 120",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760171517",
            "country_code": "US",
            "telephone_number": "309-826-8892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAMLEY",
        "first_name": "COURTNEY",
        "middle_name": "MAE",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-19",
        "last_updated": "2018-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": "2000024157",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "096.004271",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT6939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carl Louie Gunnard Grahn, PSY.D.
• Hector Grajeda Acosta, M.D.
• Bernard Joseph Gralino Jr., MD
• Estefany Gramajo, MS, CCC-SLP
• Jill A Gramer, DO
• Marley Grams, RDN, LD
• Alexandra Lyn Granado-Sanchez, DO
• Elma Granado, MD
• Brenda Estefany Granados
• Crystal Granados

• Athletic Trainer in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.