OrganizationActive
Gridiron247
NPI 1003204934 · Physical Therapist · Roseboro, NC
Provider details
- NPI number
- 1003204934
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Jerris Mcphail, Manager(910) 525-3088
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
210 W Martin L. King Blvd
Roseboro, NC 28382-9066
Phone: (910) 525-3088
Street-level locationGet directions
Mailing address
210 W Martin Luther King Blvd
Roseboro, NC 28382-9066
Registry dates
- Enumerated
- 2014-12-30
- Last updated
- 2014-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.