Active NPI
Henry McIlwaine Read Jr., PT, ATC
- Athletic Trainer
- Winston Salem, NC
National Provider Identifier
1508900465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 079102593-0234
- Practice address
- 760 Highland Oaks Dr
Winston Salem, NC 27103-7105 - Phone
- (336) 659-8634
- NPI assigned
- Feb 16, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2146 | NC | |
| Athletic Trainer | 2255A2300X | 079102593-0234 | 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
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 |
|---|---|---|---|
| 079102593-0234 | NC | MD | Athletic Trainer |
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": "1757548800000",
"number": "1508900465",
"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": "READ",
"first_name": "HENRY",
"middle_name": "MCILWAINE",
"name_suffix": "Jr.",
"credential": "PT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-16",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "2146",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NC",
"license": "079102593-0234",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.