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NPI Code Detail

MEDICARE: IGNITE PHYSICAL THERAPY

MEDICARE: IGNITE PHYSICAL THERAPY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1043082720
Entity Type Code : Organization
Provider Name (Legal Business Name) : IGNITE PHYSICAL THERAPY
Provider Business Mailing Address
First Line : 4113 LAWNDALE DR
Second Line :
City : GREENSBORO
State : NC
Zip : 27455-1889
Country : US
Telephone Number : 336-235-4530
Fax Number : 336-235-0754
Provider Business Practice Location Address
First Line : 4113 LAWNDALE DR
Second Line :
City : GREENSBORO
State : NC
Zip : 27455-1889
Country : US
Telephone Number : 336-235-4530
Fax Number : 336-235-0754
Authorized Official
Title or Position : BUSINESS MANAGER
Name : JILL BROOKS
Credential :
Telephone Number : 336-235-4530
Provider Enumeration Date : 10/25/2023
Last Update Date : 06/13/2025

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Directions to “IGNITE PHYSICAL THERAPY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.