Provider Demographics
NPI:1982842068
Name:PADGETT, ROBIN (COF, CFM)
Entity Type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:
Last Name:PADGETT
Suffix:
Gender:F
Credentials:COF, CFM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 SAINT LEO ST
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27405-3382
Mailing Address - Country:US
Mailing Address - Phone:336-621-9500
Mailing Address - Fax:336-621-0980
Practice Address - Street 1:645 COX RD
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-0649
Practice Address - Country:US
Practice Address - Phone:704-852-9823
Practice Address - Fax:704-853-1055
Is Sole Proprietor?:No
Enumeration Date:2009-01-28
Last Update Date:2012-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCCFM01553OtherAMERICAN BOARD FOR CERTIFICATION
NCC20133OtherBOARD FOR ORTHOTIST/PROSTHETIST CERTIFICATION