Performance Spine & Sports Specialists, PA

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

PERFORMANCE SPINE & SPORTS SPECIALISTS, PA

Practice address

1507 Westover Ter Ste B
Suite a
Greensboro, NC 27408-7121

Phone

(336) 501-3796

Fax

(336) 333-5477

NPI assigned

May 25, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Shawn Dalton-Bethea, M.D.

Title

President

Phone

(336) 501-3796

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Karen Prueter

  • Medical Physician Assistant
  • Greensboro, NC
  • NPI 1417229063
  NPD (past)

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417392000000",
    "number": "1366761793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38728",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274388728",
            "telephone_number": "336-501-3796",
            "fax_number": "336-333-5477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 WESTOVER TER STE B",
            "address_2": "SUITE A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087121",
            "telephone_number": "336-501-3796",
            "fax_number": "336-333-5477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE SPINE & SPORTS SPECIALISTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-25",
        "last_updated": "2014-12-01",
        "status": "A",
        "authorized_official_last_name": "DALTON-BETHEA",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-501-3796",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5909458",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia H Perdue, MSW
• Rachel Ann West Perentis
• Denise Perez-Fiery, MD
• Ana J Perez
• Brian Perez, MD
• Performance Spine & Sports Specialists, PA
• Perinatal and Lactation Services, PLLC
• Mark A Perini, MD
• Alexzandrew L Perkins III, PA
• Alison C Perkins, PA-C

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; 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.