Provider Demographics
NPI:1760246417
Name:NARROW ROAD PHYSICAL THERAPY, LLC
Entity Type:Organization
Organization Name:NARROW ROAD PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:RILEY
Authorized Official - Middle Name:
Authorized Official - Last Name:GREESON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-667-8736
Mailing Address - Street 1:3786 WINDSTREAM WAY
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:NC
Mailing Address - Zip Code:27282-7762
Mailing Address - Country:US
Mailing Address - Phone:304-667-8736
Mailing Address - Fax:
Practice Address - Street 1:2601 OAKCREST AVE STE D
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408-4719
Practice Address - Country:US
Practice Address - Phone:336-223-4630
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-12
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty