OrganizationActive
Performance Spine & Sports Specialists, PA
NPI 1366761793 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · Greensboro, NC
Provider details
- NPI number
- 1366761793
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shawn Dalton-Bethea, President(336) 501-3796
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
1507 Westover Ter Ste B
Suite a
Greensboro, NC 27408-7121
Phone: (336) 501-3796
Fax: (336) 333-5477
Street-level locationGet directions
Mailing address
Po Box 38728
Greensboro, NC 27438-8728
Registry dates
- Enumerated
- 2010-05-25
- Last updated
- 2014-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.