Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DEANDRE GRAYSON LAT, LMT, ATC, CSCS
NPI 1891189437
Specialist/Technologist - Athletic Trainer in Indianapolis, IN

Q: What is Deandre Grayson's NPI number?

The NPI number for Deandre Grayson is 1891189437. It was assigned to this individual provider in the NPPES registry on March 21, 2015.

Q: What is Deandre Grayson'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 Deandre Grayson was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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 21, 2015

1081 BROAD RIPPLE AVE, INDIANAPOLIS, IN 46220(317) 808-0350 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 29, 2026, Nov 18, 2024, Feb 24, 2021 and 2 more (5 updates tracked since 2017).

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About Deandre Grayson Lat, Lmt, Atc, Cscs NPPES

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

DEANDRE GRAYSON LAT, LMT, ATC, CSCS (NPI 1891189437) is an individual athletic trainer provider in Indianapolis, Indiana and active in the NPI registry since March 2015.

NPPES Registry Identity

NPI1891189437

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameDEANDRE GRAYSONCredential: LAT, LMT, ATC, CSCS

Location Address1081 BROAD RIPPLE AVEIndianapolis, IN 46220-2034

Mailing Address537 E Ohio StIndianapolis, IN 46204-2123 · (317) 627-0845

Phone(317) 808-0350

Sole ProprietorNo

Enumeration DateMarch 21, 2015

Last NPPES UpdateJuly 29, 20265 updates tracked since enumeration

NPPES CertifiedJuly 29, 2026

✔ NPI 1891189437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code2255A2300X

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.

Also ListedMassage TherapistTaxonomy 225700000X

1081 BROAD RIPPLE AVE, Indianapolis, IN 46220

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Other Providers at the Same Location NPPES 7

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

JASON MOFFITT ATC

Specialist/Technologist (Athletic Trainer)