MR. JASON MICHAEL GRAHAM ATC, LAT
NPI 1023316932
Specialist/Technologist - Athletic Trainer in Clive, IA

Q: What is Jason Graham's NPI number?

The NPI number for Jason Graham is 1023316932. It was assigned to this individual provider in the NPPES registry on March 2, 2011.

Q: What is Jason Graham's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Q: When was this NPI record last updated?

The NPPES record for Jason Graham was last updated on June 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 02, 2011

12499 UNIVERSITY AVE STE 210, CLIVE, IA 50325(515) 240-2676 Get Directions Write a Review

NPPES record last updated: June 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 2, 2021, Aug 20, 2020 (2 updates tracked since 2020).

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About Mr. Jason Michael Graham Atc, Lat NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JASON MICHAEL GRAHAM ATC, LAT (NPI 1023316932) is an individual athletic trainer provider in Clive, Iowa, licensed in Kansas (24-00667) and active in the NPI registry since March 2011.

NPPES Registry Identity

NPI1023316932

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameMR. JASON MICHAEL GRAHAMCredential: ATC, LAT

Location Address12499 UNIVERSITY AVE STE 210Clive, IA 50325-8288

Mailing Address5724 Clark BlvdDes Moines, IA 50311-2052

Phone(515) 240-2676

Sole ProprietorNo

Enumeration DateMarch 2, 2011

Last NPPES UpdateJune 2, 20212 updates tracked since enumeration

NPPES CertifiedJune 2, 2021

✔ NPI 1023316932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2255A2300X

License✔ Licensed in KS · 24-00667

Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

12499 UNIVERSITY AVE STE 210, Clive, IA 50325

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