NPIMap

Organization Active NPI

Madtes Aughenbaugh Physical Therapy Services

Doing business as Physical Therapy & Sports Rehabilitation Clinic

  • Orthopedic Physical Therapist
  • Greensboro, NC
National Provider Identifier
1609857796
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
MADTES AUGHENBAUGH PHYSICAL THERAPY SERVICES
Doing business as
Physical Therapy & Sports Rehabilitation Clinic
Practice address
1910 N Church St
Suite D
Greensboro, NC 27405-5632
Phone
(336) 274-7480
Fax
(336) 274-8903
NPI assigned
Nov 7, 2005
Last updated
Aug 22, 2020By the provider in NPPES
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
Ms. Katherine Varney
Title
Practice Manager
Phone
(336) 274-7480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X Primary

Addresses

Primary practice location

1910 N Church St
Suite D
Greensboro, NC 27405-5632

Mailing address

1910 N Church St
Suite D
Greensboro, NC 27405-5632
Phone (336) 274-7480

Other names 1

  • Physical Therapy & Sports Rehabilitation Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

1910 N Church St
Ste D
Greensboro, NC 27405
Phone (336) 274-7480

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609857796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 N CHURCH ST",
            "address_2": "SUITE D",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274055632",
            "telephone_number": "336-274-7480",
            "fax_number": "336-274-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 N CHURCH ST",
            "address_2": "SUITE D",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274055632",
            "telephone_number": "336-274-7480",
            "fax_number": "336-274-8903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADTES AUGHENBAUGH PHYSICAL THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VARNEY",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "336-274-7480",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physical Therapy & Sports Rehabilitation Clinic",
            "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.