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Deactivated NPI 1689138976 Deactivated / Inactive NPI Female Practitioner

Gillian Grahame

Specialist/Technologist - Athletic Trainer • Wayne, NJ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Gillian Grahame has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 30, 2019
NPI Deactivation Date January 30, 2019
Total Practice Duration ~1 Years of Practice (2019 – 2019)

Professional Overview & Biography Verified Profile Summary

Gillian Grahame was a registered Specialist/Technologist - Athletic Trainer practicing in Wayne, NJ. Throughout an active medical career spanning 1 years, Gillian Grahame provided care at the practice location at 300 POMPTON RD until profile deactivation on 2019-01-30.

Practice Location & Contact Primary Location

Practice Address

300 Pompton Rd

Wayne, NJ 074702103

Telephone 2012473111

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Athletic Trainer in Wayne, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 2.5 Yrs
Regional Practice Density
25 Specialists

Practicing in Wayne, NJ (1155 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

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.

Practice Associates & Co-Workers

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

39 Associated Practitioners
Bailey Wyrostek , ATC

Specialist/Technologist - Athletic Trainer

NPI 1073127809

Certified Athletic Trainer

Carlos Moreira

Student in an Organized Health Care Education/Training Program

NPI 1154911584
Jason Gustave

Specialist/Technologist - Athletic Trainer

NPI 1164930285
Fazia Weaver , NP

Nurse Practitioner - Adult Health

NPI 1174828800

Nurse Practitioner

Raquel Prada - Galvez

Specialist/Technologist - Athletic Trainer

NPI 1184250615
Samantha Corallo

Student in an Organized Health Care Education/Training Program

NPI 1184314999

Career & Practice History Timeline

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

6 Historical Events
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Updated Practice Location October 17, 2019

Registered at 300 POMPTON RD, WAYNE, NJ 074702103 (Tel: 2012473111)

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Updated Business Mailing Address October 17, 2019

Registered at 25 POND VIEW DR, WEST MILFORD, NJ 074803016 (Tel: 2012473111)

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Provider Name / Credentials Updated October 17, 2019

Recorded as GILLIAN GRAHAME

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2019

Specialist/Technologist

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NPI Profile Deactivated January 30, 2019

Record deactivated on January 30, 2019

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Initial NPI Registration & Enumeration January 30, 2019

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: 1689138976
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 30, 2019
Last Update: September 11, 2025
Deactivation Date: January 30, 2019
Sole Proprietor: Yes

Mailing Address

25 Pond View Dr

West Milford, NJ 074803016

Phone: 2012473111

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.