Active NPI
Rory A Grady Jr., ATC
- Athletic Trainer
- Arlington, VA
National Provider Identifier
1134576945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 002317
- Practice address
- 6600 Little Falls Rd
Arlington, VA 22213-1211 - Phone
- (703) 237-1456
- Fax
- (703) 237-1465
- NPI assigned
- May 21, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 002317 | NY | Primary |
Addresses
Primary practice location
6600 Little Falls Rd
Arlington, VA 22213-1211
Mailing address
22575 Leanne Ter Apt 444
Ashburn, VA 20148-6858
Phone (516) 423-1962
Other practice location 1
1 Ash Pl Apt 1E
Great Neck, NY 11021-3272
Phone (516) 423-1962
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002317 | NY | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610496000000",
"number": "1134576945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22575 LEANNE TER APT 444",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201486858",
"telephone_number": "516-423-1962",
"fax_number": "703-237-1465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6600 LITTLE FALLS RD",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222131211",
"telephone_number": "703-237-1456",
"fax_number": "703-237-1465"
}
],
"practiceLocations": [
{
"address_1": "1 Ash Pl Apt 1E",
"address_purpose": "LOCATION",
"city": "Great Neck",
"state": "NY",
"postal_code": "110213272",
"country_code": "US",
"telephone_number": "516-423-1962",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRADY",
"first_name": "RORY",
"middle_name": "A",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-05-21",
"last_updated": "2021-01-13",
"certification_date": "2021-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "002317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.