Organization Active NPI

Foundation Health Systems Corp

  • Physical Therapist
  • Winston-Salem, NC
National Provider Identifier
1003367160
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FOUNDATION HEALTH SYSTEMS CORP
Practice address
2085 Frontis Plaza Blvd
Attn: Facility Credentialing
Winston-Salem, NC 27103
Phone
(336) 277-1604
Fax
(336) 277-9584
NPI assigned
Oct 24, 2016
Organization subpart
Yes
Parent organization
NOVANT HEALTH, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Greg L Bielec
Title
Director Rehab Medicine
Phone
(704) 316-1550

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

2085 Frontis Plaza Blvd
Attn: Facility Credentialing
Winston-Salem, NC 27103

Mailing address

PO Box 601791
Charlotte, NC 28260-1791
Phone (336) 277-7226

Other identifiers 4

IdentifierTypeStateIssuer
0527650004OtherNCDME NUMBER
0527650006OtherNCDME NUMBER
0527650007OtherNCDME NUMBER
0527650008OtherNCDME NUMBER

Other names 1

  • NOVANT HEALTH REHABILITATION CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Foundation Hea LTH System30 organizations share this tax ID, including this one
Part of
Novant Health Inc

Other organizations with this tax ID 29

Organizations that report the same tax identification number in the National Provider Directory.

View all 29

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477267200000",
    "number": "1003367160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601791",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601791",
            "telephone_number": "336-277-7226",
            "fax_number": "336-277-9795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2085 FRONTIS PLAZA BLVD",
            "address_2": "ATTN: FACILITY CREDENTIALING",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "27103",
            "telephone_number": "336-277-1604",
            "fax_number": "336-277-9584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION HEALTH SYSTEMS CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NOVANT HEALTH, INC",
        "enumeration_date": "2016-10-24",
        "last_updated": "2016-10-24",
        "status": "A",
        "authorized_official_last_name": "BIELEC",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR REHAB MEDICINE",
        "authorized_official_telephone_number": "704-316-1550"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME NUMBER",
            "identifier": "0527650004",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME NUMBER",
            "identifier": "0527650006",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME NUMBER",
            "identifier": "0527650007",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME NUMBER",
            "identifier": "0527650008",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NOVANT HEALTH REHABILITATION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winston-Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.