1. Home
  2. Directory
  3. Michigan
  4. Grand Rapids
  5. Specialist Technologist
  6. NPI Profile

JUSTIN TRAVIS GREENLAW AT, ATC
NPI 1518377134
Specialist/Technologist - Athletic Trainer in Grand Rapids, MI

Active since May 05, 2014
4100 LAKE DR SE, #305, GRAND RAPIDS, MI 49546(616) 267-8860 Get Directions Write a Review

NPPES record last updated: May 5, 2014. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Justin Travis Greenlaw At, Atc NPPES

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

JUSTIN TRAVIS GREENLAW AT, ATC (NPI 1518377134) is an individual athletic trainer provider in Grand Rapids, Michigan, licensed in Michigan (2601001195) and active in the NPI registry since May 2014.

NPPES Registry Identity

NPI1518377134
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameJUSTIN TRAVIS GREENLAWCredential: AT, ATC
Location Address4100 LAKE DR SE, #305Grand Rapids, MI 49546-8292
Mailing Address4100 Lake Dr Se, #305Grand Rapids, MI 49546 · (616) 267-8860
Phone(616) 267-8860
Sole ProprietorNo
Enumeration DateMay 5, 2014
✔ NPI 1518377134 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 MI · 2601001195
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.
4100 LAKE DR SE, Grand Rapids, MI 49546
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TELLA KATARINA MINKKINEN PT
Physical Therapist
4100 LAKE DR SE, SUITE 305
GRAND RAPIDS, MI 49546
Kent County (616) 285-1377
RANDALL SCOTT MEISNER MD
Internal Medicine (Gastroenterology)
4100 LAKE DR SE, SUITE 205
GRAND RAPIDS, MI 49546
Kent County (616) 267-7414
DR. MARYKAY LEHMAN M.D.
Internal Medicine (Pulmonary Disease)
4100 LAKE DR SE, SUITE 200
GRAND RAPIDS, MI 49546
Kent County (616) 949-8244
GUSTAVO CUMBO-NACHELI
Internal Medicine (Pulmonary Disease)
4100 LAKE DR SE, SUITE 200
GRAND RAPIDS, MI 49546
Kent County (616) 267-8244
JANET DOMINOWSKI RD
Dietitian, Registered
4100 LAKE DR SE, SUITE 200
GRAND RAPIDS, MI 49546
Kent County (616) 267-8950
WALTER M BRAUNOHLER M.D.
Orthopaedic Surgery
4100 LAKE DR SE, SUITE 300
GRAND RAPIDS, MI 49546
Kent County (616) 267-8860
JILL C THORPE PA-C
Physician Assistant
4100 LAKE DR SE, SUITE 205
GRAND RAPIDS, MI 49546
Kent County (616) 774-2414
PATRICIA BEGGS AT, ATC
Specialist/Technologist (Athletic Trainer)
4100 LAKE DR SE, SUITE 300
GRAND RAPIDS, MI 49546
Kent County (616) 267-8565

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Greenlaw's NPI number?

The NPI number for Justin Greenlaw is 1518377134. It was assigned to this individual provider in the NPPES registry on May 5, 2014.

Where is Justin Greenlaw located?

Justin Greenlaw practices at 4100 Lake Dr SE #305, Grand Rapids, MI 49546. The listed phone number is (616) 267-8860.

What is Justin Greenlaw's specialty?

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

When was this NPI record last updated?

The NPPES record for Justin Greenlaw was last updated on May 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.