Gregory Deroan Catrett, ATC

Key facts

NPI

1891730446

Entity type

Individual (NPI type 1)

Primary specialty

Athletic Trainer 2255A2300X

Practice address

13895 Hwy 27
Lake Wales, FL 33859-2549

Phone

(863) 638-7257

NPI assigned

Jun 18, 2006

Sex

Male

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 13, 2026.

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1891730446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2049 SAN MARCOS DR SE",
            "address_2": "#222",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338806607",
            "telephone_number": "863-514-5328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13895 HWY 27",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338592549",
            "telephone_number": "863-638-7257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATRETT",
        "first_name": "GREGORY",
        "middle_name": "DEROAN",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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