Organization Active NPI

Triad Physical Medicine

  • Physical Medicine & Rehabilitation Physician
  • Greensboro, NC
National Provider Identifier
1477925519
Registry record updated Oct 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
TRIAD PHYSICAL MEDICINE
Practice address
2311 W. Cone Blvd
Suite 228
Greensboro, NC 27408
Phone
(336) 288-4677
NPI assigned
Oct 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2015

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

Authorized official

Name
Dr. Jonathan Orton, M.D.
Title
Owner/ Site Supervisor
Phone
(336) 288-4677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X NC Primary

Addresses

Primary practice location

2311 W. Cone Blvd
Suite 228
Greensboro, NC 27408

Mailing address

2311 W. Cone Blvd
Suite 228
Greensboro, NC 27408
Phone (336) 288-4677

National Provider Directory

National Provider Directory

Locations

2311 W Cone Blvd
Ste 228
Greensboro, NC 27408
Phone (336) 288-4677

NPI Registry JSON

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445990400000",
    "number": "1477925519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 W. CONE BLVD",
            "address_2": "SUITE 228",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27408",
            "telephone_number": "336-288-4677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 W. CONE BLVD",
            "address_2": "SUITE 228",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27408",
            "telephone_number": "336-288-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIAD PHYSICAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-28",
        "last_updated": "2015-10-28",
        "status": "A",
        "authorized_official_last_name": "ORTON",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER/ SITE SUPERVISOR",
        "authorized_official_telephone_number": "336-288-4677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NC",
            "license": null,
            "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 Oct 28, 2015; 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.