Rodulfo Chiropractic PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

RODULFO CHIROPRACTIC PLLC

Practice address

4113 Lawndale Dr
Greensboro, NC 27455-1889

Phone

(336) 235-4530

Fax

(336) 235-0754

NPI assigned

Sep 14, 2020

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

Tax ID family

Healing Hands Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Rodulfo Chiropractic PLLC

  • Sports Physician Chiropractor
  • Greensboro, NC
  • NPI 1649298217
  NPD tax ID

Practitioners 2

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

• Olivia Nicole Bounthanom

  • Massage Therapist
  • Jber, AK
  • NPI 1235642034
  NPD
• Damien Jude Rodulfo, DC, CCSP

  • Sports Physician Chiropractor
  • Greensboro, NC
  • NPI 1407838675
  NPD (past)

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744848000000",
    "number": "1093320293",
    "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": "RODULFO CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-14",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "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": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elyse McMahon Rodriguez
• Evelyn Rodriguez
• Migdalia Rodriguez
• Sarah Rodriguez
• Yasmin Rodriguez
• Rodulfo Chiropractic PLLC
• Damien Jude Rodulfo, DC, CCSP
• Naimah Roebuck Sakho
• Sarah Louise Roethlinger, MA, LPCA
• Susanne Elizabeth Roever, LCMHCA

• All providers in Greensboro, NC
• Physical Medicine & Rehabilitation Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.