Active NPI
Jennifer Shrewsberry
- Physical Therapist
- Greensboro, NC
National Provider Identifier
1861566101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1401 Benjamin Pkwy
Greensboro, NC 27408-4518 - Phone
- (336) 854-2929
- NPI assigned
- Nov 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
1401 Benjamin Pkwy
Greensboro, NC 27408-4518
Mailing address
3822 Cotswold Ave
Greensboro, NC 27410-8967
Phone (336) 545-1337
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P10802 | Other | NC | LICENSE# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proactive Therapy of North Carolina Inc | Current | Accepting new patients | |
| Proactive Therapy of North Carolina Inc | Current | Accepting new patients |
Locations
10205 US 15 501 Hwy
Unit 24
Southern Pines, NC 28387
Phone (910) 704-5430
2358 US Highway 70
Ste Ab
Swannanoa, NC 28778
Phone (828) 686-3375
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Charlotte, NC
- NPI 1568468502
-
- Physical Therapy Clinic/Center
- Raleigh, NC
- NPI 1689679433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861566101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3822 COTSWOLD AVE",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274108967",
"telephone_number": "336-545-1337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 BENJAMIN PKWY",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274084518",
"telephone_number": "336-854-2929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHREWSBERRY",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE#",
"identifier": "P10802",
"state": "NC"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.