Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1891189437 Individual Practitioner Male Practitioner

Deandre Grayson , LAT, LMT, ATC, CSCS

Specialist/Technologist - Athletic Trainer • Indianapolis, IN

Professional Overview & Biography Verified Profile Summary

Deandre Grayson, LAT, LMT, ATC, CSCS is a registered healthcare professional specializing in Specialist/Technologist - Athletic Trainer in Indianapolis, IN. Practice services are available at 1081 BROAD RIPPLE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1081 Broad Ripple Ave

Indianapolis, IN 462202034

Telephone 3178080350

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Athletic Trainer in Indianapolis, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
296 Specialists

Practicing in Indianapolis, IN (1604 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-29
Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

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.

Massage Therapist

NUCC Taxonomy Code: 225700000X

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Jason Moffitt , ATC

Specialist/Technologist - Athletic Trainer

NPI 1013427434

Certified Athletic Trainer

Jarad Berty , PTA

Physical Therapy Assistant

NPI 1407429012

Physical Therapist Assistant

Dr. Sarah Hogan , DPT

Physical Therapist

NPI 1457198319

Doctor of Physical Therapy

Dr. Dustin Notter , DPT

Physical Therapist

NPI 1720827272

Doctor of Physical Therapy

Dr. Lindsay Spears , DPT

Physical Therapist

NPI 1750806725

Doctor of Physical Therapy

Brian Stockman , MPT

Physical Therapist

NPI 1831334580

Master of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

21 Historical Events
📍
Updated Practice Location July 29, 2026

Registered at 1081 BROAD RIPPLE AVE, INDIANAPOLIS, IN 462202034 (Tel: 3178080350)

📍
Updated Business Mailing Address July 29, 2026

Registered at 537 E OHIO ST, INDIANAPOLIS, IN 462042123 (Tel: 3176270845)

📍
Updated Practice Location November 18, 2024

Registered at 5128 E STOP 11 RD STE 36, INDIANAPOLIS, IN 462376338 (Tel: 3176270845)

📍
Updated Business Mailing Address November 18, 2024

Registered at 5128 E STOP 11 RD STE 36, INDIANAPOLIS, IN 462376338 (Tel: 3176270845)

👤
Provider Name / Credentials Updated November 18, 2024

Recorded as DEANDRE GRAYSON, LAT, LMT, ATC, CSCS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 18, 2024

Massage Therapist

👤
Provider Name / Credentials Updated February 24, 2021

Recorded as DEANDRE GRAYSON, LAT, ATC, LMT, CES

📍
Updated Practice Location July 07, 2018

Registered at 1400 E HANNA AVE, INDIANAPOLIS, IN 46227 (Tel: 3176270845)

📍
Updated Business Mailing Address July 07, 2018

Registered at 7334 E 34TH ST, INDIANAPOLIS, IN 462266238 (Tel: 3176270845)

👤
Provider Name / Credentials Updated July 07, 2018

Recorded as DEANDRE GRAYSON, LAT, ATC, NASM-CPT

NPI Profile Active May 10, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 10, 2017

Registered at 1400 E HANNA AVE, INDIANAPOLIS, IN 462273630 (Tel: 3176270845)

📍
Updated Business Mailing Address May 10, 2017

Registered at 1400 E HANNA AVE, INDIANAPOLIS, IN 462273630 (Tel: 3176270845)

👤
Provider Name / Credentials Updated May 10, 2017

Recorded as DEANDRE GRAYSON, ATC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2017

Specialist/Technologist

NPI Profile Active March 21, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location March 21, 2015

Registered at 1400 E HANNA AVE, INDIANAPOLIS, IN 462273630 (Tel: 3174781788)

📍
Updated Business Mailing Address March 21, 2015

Registered at 1400 E HANNA AVE, INDIANAPOLIS, IN 462273630 (Tel: 3174781788)

👤
Provider Name / Credentials Updated March 21, 2015

Recorded as DEANDRE GRAYSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2015

Specialist/Technologist

🟢
Initial NPI Registration & Enumeration March 21, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891189437
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 21, 2015
Last Update: July 29, 2026
Sole Proprietor: No

Mailing Address

537 E Ohio St

Indianapolis, IN 462042123

Phone: 3176270845

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.