DAMON G ROUSE PT
NPI 1861498677
Physical Therapist in Burnsville, NC

Active since June 27, 2005Accepts Medicare Assignment
116 SEVEN MILE RIDGE RD, BURNSVILLE, NC 28714(828) 675-4116 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Damon G Rouse Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAMON G ROUSE PT (NPI 1861498677) is an individual physical therapist in Burnsville, North Carolina, licensed in North Carolina (8787) and active in the NPI registry since June 2005. He maintains 3 additional practice locations and is a graduate of Other (2001).

NPPES Registry Identity

NPI1861498677
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameDAMON G ROUSECredential: PT
Location Address116 SEVEN MILE RIDGE RDBurnsville, NC 28714-8509
Mailing AddressPo Box 27Bakersville, NC 28705-0027 · (828) 688-2104 · Fax (844) 772-0832
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJune 27, 2005
Last NPPES UpdateJuly 6, 2026
NPPES CertifiedJuly 6, 2026
✔ NPI 1861498677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in NC · 8787
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
116 SEVEN MILE RIDGE RD, Burnsville, NC 28714

Secondary Practice Locations 3

Location 171 Blue Ridge LnBurnsville, NC 28714-7270 · Phone (828) 682-8588
Location 286 N Mitchell AveBakersville, NC 28705-6502 · Phone (828) 688-2104 · Fax (844) 772-0832
Location 311728 S 226 HwySpruce Pine, NC 28777-8954 · Phone (828) 766-7778

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Damon G Rouse Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830361120
PECOS Enrollment IDI20111010000433

Medicare Billing Reassignments

2

Medicare enrollment records show Damon Rouse reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapist
116 SEVEN MILE RIDGE RD
Burnsville, NC 28714
  • Reassigned Medicare billing, North Carolina enrollment
  • Also billed through NPI 1568914521 (North Carolina), NPI 1831799667 (North Carolina)
  • 32 clinicians in this Medicare group
Physical Therapist
4188 HIGHWAY 80 S # 10
Burnsville, NC 28714
  • Reassigned Medicare billing, North Carolina enrollment
  • 14 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
429 services33 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
70 services21 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
34 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28714 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
116 SEVEN MILE RIDGE RD
BURNSVILLE, NC 28714
Family Medicine
116 SEVEN MILE RIDGE RD
BURNSVILLE, NC 28714
Physical Therapist
116 SEVEN MILE RIDGE RD
BURNSVILLE, NC 28714
Family Medicine
116 SEVEN MILE RIDGE RD
BURNSVILLE, NC 28714
Social Worker (Clinical)
116 SEVEN MILE RIDGE RD
BURNSVILLE, NC 28714
Social Worker (Clinical)
116 SEVEN MILE RIDGE RD
BURNSVILLE, NC 28714
Physician Assistant
116 SEVEN MILE RIDGE RD
BURNSVILLE, NC 28714
Family Medicine
116 SEVEN MILE RIDGE RD
BURNSVILLE, NC 28714

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 Damon Rouse's NPI number?

The NPI number for Damon Rouse is 1861498677. It was assigned to this individual provider in the NPPES registry on June 27, 2005.

Where is Damon Rouse located?

Damon Rouse practices at 116 Seven Mile Ridge Rd, Burnsville, NC 28714. The listed phone number is (828) 675-4116.

What is Damon Rouse's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Damon Rouse enrolled in Medicare?

Yes. Damon Rouse is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Damon Rouse's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Damon Rouse reassigns Medicare benefits to 2 organizations: Mountain Community Health Partnership Incorporated (Burnsville, NC) and Pt Solutions Of North Carolina LLC (Burnsville, NC). Each 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 Damon Rouse's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Damon Rouse accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and AmeriHealth Caritas Next and 4 other insurers list Damon Rouse 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 Damon Rouse was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.