Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Grady Congleton

Individual provider Athletic Trainer · NPI 1205264033

Grady Congleton is an Athletic Trainer in East Hampton, New York. Practices as a sole proprietor. Licensed in Massachusetts and New York.

Licensed in
MA, NY
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

18 Goodfriend Dr
East Hampton, NY 11937-2584 Not confirmed with CMS for 12 years — call before visiting
Phone: (631) 907-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 002583 (NY)
Athletic Trainer Taxonomy 2255A2300X · Licence 2451 (MA)

Record details

NPI number1205264033
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 14, 2013
Last updated in NPPESOctober 14, 2013