=====================================================
General NPI Number Information
=====================================================
NPI Number | 1174620355
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | GREENSBORO PHYSICAL THERAPY & SPORTS MEDICINE SERVICES, INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/20/2006
-----------------------------------------------------
Last Update Date | 07/31/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 319 W. WENDOVER AVE.
-----------------------------------------------------
City | GREENSBORO
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27408
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 336-274-5006
-----------------------------------------------------
Fax | 336-274-5033
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 319 W. WENDOVER AVE.
-----------------------------------------------------
City | GREENSBORO
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27408
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 336-274-5006
-----------------------------------------------------
Fax | 336-274-5033
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PARTNER
-----------------------------------------------------
Name | MRS. AART S SCHULENKLOPPER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 336-274-5006
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2251X0800X
-----------------------------------------------------
Taxonomy Name | Orthopedic Physical Therapist
-----------------------------------------------------
License Number | 8352
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------