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1134576945 NPI number — RORY A GRADY JR. ATC

NPI Number: 1134576945
Health Care Provider/Practitioner: RORY A GRADY JR. ATC

Information about “1134576945” NPI (RORY A GRADY JR. ATC) exists in 1134576945 in HTML format HTML  |  1134576945 in plain Text format TXT  |  1134576945 in PDF (Portable Document Format) PDF  |  1134576945 in an XML format XML  formats.

NPI Number : 1134576945 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1134576945",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GRADY",
    "FirstName": "RORY",
    "MiddleName": "A",
    "NamePrefix": "MR.",
    "NameSuffix": "JR.",
    "Credential": "ATC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "22575 LEANNE TER APT 444",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ASHBURN",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "20148-6858",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "516-423-1962",
    "MailingAddressFaxNumber": "703-237-1465",
    "FirstLinePracticeLocationAddress": "6600 LITTLE FALLS RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ARLINGTON",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "22213-1211",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "703-237-1456",
    "PracticeLocationAddressFaxNumber": "703-237-1465",
    "EnumerationDate": "05/21/2016",
    "LastUpdateDate": "01/13/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "2255A2300X",
        "TaxonomyName": "Athletic Trainer",
        "LicenseNumber": "002317",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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