PERFORMANCE SPINE & SPORTS SPECIALISTS, PA
NPI 1366761793
Physical Medicine & Rehabilitation - Pain Medicine in Greensboro, NC

Active since May 25, 2010
1507 WESTOVER TER STE B, SUITE A, GREENSBORO, NC 27408(336) 501-3796(336) 333-5477 Get Directions Write a Review

NPPES record last updated: December 1, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Performance Spine & Sports Specialists, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PERFORMANCE SPINE & SPORTS SPECIALISTS, PA (NPI 1366761793) is a healthcare organization registered as a pain medicine in Greensboro, North Carolina and active in the NPI registry since May 2010. The organization lists Shawn Dalton-bethea, President, as its authorized official.

NPPES Registry Identity

NPI1366761793
Entity TypeOrganization
Primary Taxonomy2081P2900X
Legal Business NamePERFORMANCE SPINE & SPORTS SPECIALISTS, PA
Location Address1507 WESTOVER TER STE B, SUITE AGreensboro, NC 27408-7121
Mailing AddressPo Box 38728Greensboro, NC 27438-8728 · (336) 501-3796 · Fax (336) 333-5477
Fax(336) 333-5477
Organization SubpartNo
Authorized OfficialShawn Dalton-betheaPresident · (336) 501-3796
Enumeration DateMay 25, 2010
Last NPPES UpdateDecember 1, 2014
NPI 1366761793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
1507 WESTOVER TER STE B, Greensboro, NC 27408

Other Identifiers 3

Medicaid5909458NC
Medicare PIN2074289BNC
Medicare UPINI46589NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Performance Spine & Sports Specialists, PA's NPI number?

The NPI number for Performance Spine & Sports Specialists, PA is 1366761793. It was assigned to this organization in the NPPES registry on May 25, 2010.

Where is Performance Spine & Sports Specialists, PA located?

Performance Spine & Sports Specialists, PA is located at 1507 Westover Ter Ste B Suite A, Greensboro, NC 27408. The listed phone number is (336) 501-3796.

What is Performance Spine & Sports Specialists, PA's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

When was this NPI record last updated?

The NPPES record for Performance Spine & Sports Specialists, PA was last updated on December 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.