Ignite Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

IGNITE PHYSICAL THERAPY

Practice address

4113 Lawndale Dr
Greensboro, NC 27455-1889

Phone

(336) 235-4530

Fax

(336) 235-0754

NPI assigned

Oct 25, 2023

Organization subpart

No

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

Authorized official

Name

Jill Brooks

Title

Business Manager

Phone

(336) 235-4530

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Allison Erin Lease, DPT

  • Physical Therapist
  • Greensboro, NC
  • NPI 1427798842
  Medicare reassignment NPD
• Damien Jude Rodulfo, DC, CCSP

  • Sports Physician Chiropractor
  • Greensboro, NC
  • NPI 1407838675
  NPD

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749772800000",
    "number": "1043082720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4113 LAWNDALE DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274551889",
            "telephone_number": "336-235-4530",
            "fax_number": "336-235-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4113 LAWNDALE DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274551889",
            "telephone_number": "336-235-4530",
            "fax_number": "336-235-0754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGNITE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-25",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "336-235-4530"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sadou Ibrahim
• Id Sol PLLC
• Julie Lynn Idol, PA
• Akhagboye Olufunke Idowu
• Michael Anthony Ignelzi Jr., DDS PHD
• Michael Patrick Igo, RPH
• Igrew LLC
• Onyeje Maura Ijaola, FNP
• Jessica Ijeoma, PHARMD
• Yolanda Ikazoboh

• Physical Therapist in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; 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.

Verify at the official NPI Registry.