Grand Slam Supports

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GRAND SLAM SUPPORTS

Practice address

2313 Dunbar CT
Longmont, CO 80501-1009

Phone

(316) 323-9734

NPI assigned

Dec 17, 2018

Organization subpart

No

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

Authorized official

Name

Tyler Patty

Title

Owner

Phone

(316) 323-9734

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545004800000",
    "number": "1740751635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2313 DUNBAR CT",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805011009",
            "telephone_number": "316-323-9734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2313 DUNBAR CT",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805011009",
            "telephone_number": "316-323-9734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND SLAM SUPPORTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2018-12-17",
        "status": "A",
        "authorized_official_last_name": "PATTY",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-323-9734"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary C Graeff Gomez
• Tamara Graff
• Callie Graham, MASSAGE THERAPIST
• Laura Graham
• Susan Graham, PA
• Jennifer Grande, MT
• David Granelli
• Granite Healthcare, Inc.
• Daren Gregory Grann, DPT, PT
• Deelany Ashlyn Grant

• Community/Behavioral Health Agency in Longmont, CO
• Providers in Longmont, CO by specialty
• Community/Behavioral Health Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.