Individual provider Active NPI

Stephanie Lauren Grajek, MS, ATC

  • Athletic Trainer
  • Howell, MI
National Provider Identifier
1720587157
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
2601001890 Issued in MI
Practice address
1456 Lawson Dr
Howell, MI 48843-8016
Phone
(517) 537-3100
Fax
(517) 537-3101
NPI assigned
Feb 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 2601001890 MI Primary

Addresses

Primary practice location

1456 Lawson Dr
Howell, MI 48843-8016

Mailing address

61152 Greenwood Dr
South Lyon, MI 48178-1700
Phone (517) 749-4970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2601001890MIMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1720587157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61152 GREENWOOD DR",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481781700",
            "telephone_number": "517-749-4970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1456 LAWSON DR",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488438016",
            "telephone_number": "517-537-3100",
            "fax_number": "517-537-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAJEK",
        "first_name": "STEPHANIE",
        "middle_name": "LAUREN",
        "credential": "MS, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-12",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601001890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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.