Grace Samantha Crawford, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

104.0134045 Issued in VT

Practice address

185 Tilley Dr
South Burlington, VT 05403-4484

Phone

(802) 879-1703

NPI assigned

Feb 6, 2025

Last updated

Feb 6, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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": "1738800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1811701063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 HIGHWOOD TER",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074521512",
            "telephone_number": "551-804-8077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 TILLEY DR",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054034484",
            "telephone_number": "802-879-1703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "GRACE",
        "middle_name": "SAMANTHA",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-06",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VT",
            "license": "104.0134045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah McLane Costello, MD
• Candis Joan Cousins, PAC
• Dominique J Couture-Sherman, LICSW
• Jeffrey Allen Crandall, D.D.S.
• Evan Hayden Crandell
• Shelley Ann Crombach, D.C.
• Caitlin Margaret Cronin
• Christopher Wright Cronin, LCMHC
• Megan Jean Cronin, DPT
• Maria Cronyn, ND

• Athletic Trainer in South Burlington, VT
• Providers in South Burlington, VT by specialty
• Athletic Trainer in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.