PROVIDENCE PHYSICAL THERAPY, LLC
NPI 1326564287
Clinic/Center - Physical Therapy in Surf City, NC
About Providence Physical Therapy, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROVIDENCE PHYSICAL THERAPY, LLC (NPI 1326564287) is a healthcare organization registered as a physical therapy in Surf City, North Carolina and active in the NPI registry since August 2017. The organization lists David Alan Deitz, Owner/manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Providence Physical Therapy, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Providence Physical Therapy, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Providence Physical Therapy, LLC's NPI number?
The NPI number for Providence Physical Therapy, LLC is 1326564287. It was assigned to this organization in the NPPES registry on August 22, 2017.
Where is Providence Physical Therapy, LLC located?
Providence Physical Therapy, LLC is located at 107 Triton Ln, Surf City, NC 28445. The listed phone number is (910) 803-2040.
What is Providence Physical Therapy, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is Providence Physical Therapy, LLC enrolled in Medicare?
Yes. Providence Physical Therapy, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Providence Physical Therapy, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Providence Physical Therapy, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Providence Physical Therapy, LLC accept?
Health plans from Blue Cross and Blue Shield of NC list Providence Physical Therapy, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Providence Physical Therapy, LLC was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.
# Providence Physical Therapy, Llc · NPI 1326564287
Physical Therapy organization in Surf City, North Carolina. Organization record, active in the CMS NPPES registry since August 22, 2017.
## Identity
- **NPI:** 1326564287 (Entity type: Organization)
- **Enumerated:** August 22, 2017
- **Primary specialty:** Clinic/Center - Physical Therapy · taxonomy 261QP2000X
- **Organization subpart:** No
- **Authorized official:** David Deitz, OWNER/MANAGER
## Practice location
- **Address:** 107 TRITON LN, Surf City, NC 28445-6923
- **Phone:** (910) 803-2040 · **Fax:** (910) 803-2050
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Physical Therapist in Private Practice) reassign Medicare billing to this organization (form CMS-855R); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 14, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1326564287) · Data from the CMS NPPES public registry.