Individual provider Active NPI

Conner Grindstaff Taylor

  • Occupational Therapist
  • Southport, NC
National Provider Identifier
1396338968
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
13890 Issued in NC
Practice address
924 N Howe St
Southport, NC 28461-3038
Phone
(910) 457-3843
Fax
(910) 454-4711
NPI assigned
Feb 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 13890 NC Primary

Addresses

Primary practice location

924 N Howe St
Southport, NC 28461-3038

Mailing address

924 N Howe St
Southport, NC 28461-3038
Phone (910) 457-3843

Other names 1

  • Conner Michelle Grindstaff Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210427001992 VA Practitioner - Occupational Therapist in Private Practice 0840608048 Reassigns benefits to 1 organization
I20230221002604 NC Practitioner - Occupational Therapist in Private Practice 0840608048 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13890NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Acme Therapies Co Occupational Therapist CurrentSince Feb 23, 2021 Accepting new patients
Raise the Bar Therapy Services Occupational Therapist CurrentSince Jun 15, 2022 Accepting new patients

Locations

18676 US Highway 17
Hampstead, NC 28443
Phone (910) 270-4156

18676 US Highway 17
Ste 10
Hampstead, NC 28443
Phone (910) 821-1700

128 Fayette St
Martinsville, VA 24112
Phone (276) 352-4465

Organizations & group practices 2

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": "1613347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1396338968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 N HOWE ST",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284613038",
            "telephone_number": "910-457-3843",
            "fax_number": "910-454-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 N HOWE ST",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284613038",
            "telephone_number": "910-457-3843",
            "fax_number": "910-454-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "CONNER",
        "middle_name": "GRINDSTAFF",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-15",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "13890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONNER",
            "last_name": "GRINDSTAFF",
            "middle_name": "MICHELLE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Southport, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.