Greyson Daviau, ATC, EMT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

441 Country Club Rd
York, PA 17403-3614

Phone

(717) 846-7788

NPI assigned

Feb 7, 2022

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Emergency Medical Technician

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1669126918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 SMITH MILL RD",
            "city": "NEW FREEDOM",
            "state": "PA",
            "postal_code": "173498147",
            "telephone_number": "717-817-1208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 COUNTRY CLUB RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174033614",
            "telephone_number": "717-846-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIAU",
        "first_name": "GREYSON",
        "credential": "ATC, EMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-07",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED ATHLETIC TRAINER",
            "identifier": "2000053540",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA DEPARTMENT OF HEALTH EMERGENCY MEDICAL TECHNICIAN",
            "identifier": "1039251",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA STATE BOARD OF MEDICINE",
            "identifier": "RT008255",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Darr
• Aizad K. Dasti, M.D.
• Neha Datta, MD
• Tammy Daugherty
• Erica Davenport, DO
• David H. Dellinger, D.M.D., P.C.
• Roshne Davidson
• Rhian Elizabeth Davies, D.O.
• Abby Warner Davis, M.D.
• Angela Marie Davis, LCSW

• Athletic Trainer in York, PA
• Providers in York, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.