Organization Active NPI

In Form Healthcare, Inc

  • Rehabilitation Clinic/Center
  • Greensboro, NC
National Provider Identifier
1487663654
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
346641 Issued in NC
Legal business name
IN FORM HEALTHCARE, INC
Doing business as
GUILFORD REHABILITATION ASSOCIATES, INC
Practice address
403 Parkway
Greensboro, NC 27401-1652
Phone
(336) 317-9233
NPI assigned
Aug 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ashu ChopraNPI 1326094657
Title
President
Phone
(336) 761-5066

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 346641 NC Primary

Addresses

Primary practice location

403 Parkway
Greensboro, NC 27401-1652

Mailing address

403 E Parkway
Greensboro, NC 27401-1652
Phone (336) 317-9233

Other names 1

  • GUILFORD REHABILITATION ASSOCIATES, INC Doing business as

National Provider Directory

National Provider Directory

Locations

3505 N Roxboro St
Bldg 1
Durham, NC 27704
Phone (919) 477-6948

403 Parkway St
Greensboro, NC 27401
Phone (336) 317-9233

3604 Peters Ct
Fl 2
High Point, NC 27265
Phone (336) 889-7066

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1154822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487663654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 E PARKWAY",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011652",
            "telephone_number": "336-317-9233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 PARKWAY",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011652",
            "telephone_number": "336-317-9233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN FORM HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHOPRA",
        "authorized_official_first_name": "ASHU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-761-5066"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NC",
            "license": "346641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GUILFORD REHABILITATION ASSOCIATES, INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.