Active NPI
Robb Arnold Stefanik, PT
- Physical Therapist
- Greensboro, NC
National Provider Identifier
1023212958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9672
- Practice address
- 4100 Well Spring Dr
Greensboro, NC 27410-8857 - Phone
- (336) 545-5416
- Fax
- (336) 217-8790
- NPI assigned
- Jun 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 9672 | NC | Primary |
Addresses
Primary practice location
4100 Well Spring Dr
Greensboro, NC 27410-8857
Mailing address
4473 Veranda Lake CT
Greensboro, NC 27409-9243
Phone (336) 207-8937
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9672 | NC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Functional Pathways Preferred of Tennessee LLC | Physical Therapist | Current | Accepting new patients |
Locations
10133 Sherrill Blvd
Ste 200
Knoxville, TN 37932
Phone (865) 392-2847
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708473600000",
"number": "1023212958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4473 VERANDA LAKE CT",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274099243",
"telephone_number": "336-207-8937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 WELL SPRING DR",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274108857",
"telephone_number": "336-545-5416",
"fax_number": "336-217-8790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEFANIK",
"first_name": "ROBB",
"middle_name": "ARNOLD",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-13",
"last_updated": "2024-02-21",
"certification_date": "2024-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "9672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; 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.