Active NPI
Valerie Wyke Granade, PT
- Physical Therapist
- Winston Salem, NC
National Provider Identifier
1376687236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2061
- Practice address
- 760 Highland Oaks Dr
Winston Salem, NC 27103-7105 - Phone
- (336) 659-8634
- NPI assigned
- Feb 16, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2061 | NC | Primary |
Addresses
Primary practice location
760 Highland Oaks Dr
Winston Salem, NC 27103-7105
Mailing address
760 Highland Oaks Dr
Winston Salem, NC 27103-7105
Phone (336) 659-8634
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0789B | Other | NC | BCBS NC |
Other names 1
- Valerie Wyke Ray
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 |
|---|---|---|---|
| 2061 | NC | MD | Forensic Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wayne Cannon PT and Associates | Physical Therapist | 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.
-
- Physical Therapist
- Winston Salem, NC
- NPI 1316968563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341532800000",
"number": "1376687236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "760 HIGHLAND OAKS DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271037105",
"telephone_number": "336-659-8634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "760 HIGHLAND OAKS DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271037105",
"telephone_number": "336-659-8634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANADE",
"first_name": "VALERIE",
"middle_name": "WYKE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-16",
"last_updated": "2012-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "2061",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NC",
"identifier": "0789B",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "VALERIE",
"last_name": "RAY",
"middle_name": "WYKE",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Winston Salem, NC
- Charles Alan Graham, DC
- Crystal Shamar Graham, LCAS
- Gary Michael Graham, CRNA
- Justin Graham
- Sarah Bradford McCollum Graham, PA
- Courtney Haldeman Granadero, AGNP
- Grand Prairie Healthcare Services, P.C.
- Grandfather Home Community Services for Children
- Arnold Stephan Grandis, M.D.
- Caroline Golden Grandis, NP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.