Active NPI
Henry Carrol Grady III, OTR/L
- Occupational Therapist
- Goldsboro, NC
National Provider Identifier
1306352810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 15630
- Practice address
- 2001 Royall Ave
Goldsboro, NC 27534-7407 - Phone
- (919) 731-5900
- NPI assigned
- Dec 19, 2017
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 15630 | NC | Primary |
Addresses
Primary practice location
2001 Royall Ave
Goldsboro, NC 27534-7407
Mailing address
2181 NC Highway 55 E
Mount Olive, NC 28365-8035
Phone (919) 580-8213
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 |
|---|---|---|---|
| 15630 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wayne County Schools | Multi-Specialty | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776729600000",
"number": "1306352810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2181 NC HIGHWAY 55 E",
"city": "MOUNT OLIVE",
"state": "NC",
"postal_code": "283658035",
"telephone_number": "919-580-8213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 ROYALL AVE",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275347407",
"telephone_number": "919-731-5900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRADY",
"first_name": "HENRY",
"middle_name": "CARROL",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-12-19",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "NC",
"license": "15630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goldsboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.