Stacy McGrady, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

14643 Issued in NC

Practice address

1315 S Hawthorne Rd
Winston Salem, NC 27103-4121

Phone

(336) 917-6000

NPI assigned

Jan 14, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Aware Physical Therapy,LLC

  • Rehabilitation Hospital Unit
  • Winston Salem, NC
  • NPI 1043528763
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401408000000",
    "number": "1881016624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 S HAWTHORNE RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271034121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 S HAWTHORNE RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271034121",
            "telephone_number": "336-917-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGRADY",
        "first_name": "STACY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-14",
        "last_updated": "2014-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NC",
            "license": "14643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elena McGinty, MSN, AOCNS, FNP-BC
• Christine Erin McGough, MD
• Breanna McGowan
• Megan Elizabeth Brock McGowan, M.D.
• Timothy Wade McGowen, M.D.
• Madelyn McGrath
• Michael Edward McGuire, LCSW, LMFT, LCAS
• Jennifer Jones McGuirt, PHARMD
• Jonathan David McGuirt, PA-C, MPH
• William Frederick McGuirt, MD

• Pediatric Physical Therapist in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Pediatric Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.