Individual provider Active NPI

Robin Marie Waldron, PT, DPT

  • Physical Therapist
  • Greensboro, NC
National Provider Identifier
1053536573
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2110 Issued in NC
Practice address
1904 N Church St
Greensboro, NC 27405-5632
Phone
(336) 271-4840
Fax
(336) 271-4921
NPI assigned
Apr 17, 2007
Last updated
Mar 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2110 NC Primary

Addresses

Primary practice location

1904 N Church St
Greensboro, NC 27405-5632

Mailing address

6308 Oak Forest CT
Summerfield, NC 27358-9511
Phone (336) 643-1872

Other practice location 1

1211 Virginia St
Greensboro, NC 27401-1313
Phone (336) 275-0927

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rwaldron14409@direct.conehealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201210000543 NC Practitioner - Physical Therapist in Private Practice 5092127381 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1211 Virginia St
Greensboro, NC 27401-1313
Phone (336) 275-0927

301 E Wendover Ave
Suite 411
Greensboro, NC 27401-1211
Phone (336) 832-3210

Merit-based Incentive Payment System (MIPS)

Final score
90.12 of 100Reported as group
Quality
80.57
Promoting interoperability
100
Improvement activities
40
Cost
77.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2110NCMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Cone Medical Services, Inc. CurrentSince Dec 10, 2024 Accepting new patients
Moses Cone Physician Services Inc CurrentSince Nov 2, 2020 Accepting new patients
Moses Cone Physician Services, Inc. Current Accepting new patients
Moses Cone Physician Services, Inc. CurrentSince Nov 2, 2020 Accepting new patients
Moses Cone Medical Services, Inc. CurrentSince Dec 10, 2024 Accepting new patients

Locations

1211 Virginia St
Greensboro, NC 27401
Phone (336) 272-0012

301 E Wendover Ave
Ste 411
Greensboro, NC 27401
Phone (336) 832-3200

1904 N Church St
Greensboro, NC 27405
Phone (336) 271-4840

940 Golf House Ct E
Whitsett, NC 27377
Phone (336) 449-9848

Interoperability endpoints

  • Direct secure messaging: rwaldron14409@direct.conehealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1053536573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6308 OAK FOREST CT",
            "city": "SUMMERFIELD",
            "state": "NC",
            "postal_code": "273589511",
            "telephone_number": "336-643-1872",
            "fax_number": "336-271-4921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 N CHURCH ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274055632",
            "telephone_number": "336-271-4840",
            "fax_number": "336-271-4921"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1211 Virginia St",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274011313",
            "country_code": "US",
            "telephone_number": "336-275-0927",
            "fax_number": "336-275-4834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALDRON",
        "first_name": "ROBIN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "2110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rwaldron14409@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "Cone Health Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1211 Virginia St",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274011313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.