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GREENSBORO CEREBRAL PALSY ASSOCIATION NPI 1134265176


NPI Information

NPI: 1134265176
Provider Name: GREENSBORO CEREBRAL PALSY ASSOCIATION
Classification: Physical Therapist - 2251P0200X
Entity Type: Organization

Specialization: Pediatrics

CLIA Number: 34D2272083

Address:
3205 E WENDOVER AVE
GREENSBORO, NC
ZIP 27405
Phone: (336) 375-2575
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GREENSBORO CEREBRAL PALSY ASSOCIATION is a pediatrics physical therapist in Greensboro, NC. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given. GREENSBORO CEREBRAL PALSY ASSOCIATION NPI is 1134265176. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3205 E WENDOVER AVE
GREENSBORO, NC
ZIP 27405-431
Phone: (336) 375-2575
Fax: (336) 375-2481

The provider's authorized official is Linda Mixson Lyon .
The authorized official title is Executive Director and has the following contact phone number (336) 375-3575.

The CLIA number assigned to this NPI record is 34D2272083 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/29/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12251P0200XPhysical TherapistPediatricsYes
2225100000XPhysical TherapistX
3225X00000XOccupational TherapistX
4235Z00000XSpeech-Language PathologistX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17210494MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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