NPIMap

Organization Active NPI

Foundation Health Systems LLC

  • Physical Therapy Clinic/Center
  • Shallotte, NC
National Provider Identifier
1013466564
Registry record updated May 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
FOUNDATION HEALTH SYSTEMS LLC
Practice address
512 Village Rd Ste 102
Shallotte, NC 28470-3409
Phone
(910) 721-3157
Fax
(910) 754-5577
NPI assigned
Sep 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2026

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

Authorized official

Name
Greg Bielec
Title
Director
Phone
(336) 277-8757

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X
Physical Therapy Clinic/Center 261QP2000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

512 Village Rd Ste 102
Shallotte, NC 28470-3409

Mailing address

PO Box 601791
Charlotte, NC 28260-1791

Other practice location 1

109 Scotts Hill Medical Dr.
Ste. 200
Wilmington, NC 28411-8411
Phone (910) 662-1870

Other practice location 2

2710 Market St
Wilmington, NC 28403-1218
Phone (910) 662-8135

Other names 1

  • Novant Health Rehabilitation Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161212001613 NC Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 5597679613 Practice locations: Shallotte, NC; Wilmington, NC

Outpatient physical therapy / speech pathology certification: CCN 346681

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
NOVANT HEALTH REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Mar 9, 2017
Last certification
May 9, 2025
Ownership / control type
Proprietary
Facility address
512 Village Rd, Ste 102
Shallotte, NC 28470

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Foundation Hea LTH System30 organizations share this tax ID, including this one

Other organizations with this tax ID 29

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

View all 29

Locations

2100 S Tryon St
Unit 204
Charlotte, NC 28203
Phone (704) 316-3104

2711 Randolph Rd
Ste 100
Charlotte, NC 28207
Phone (704) 342-1900

950 Kimball Rd
China Grove, NC 28023
Phone (704) 603-1352

3515 W Market St
Greensboro, NC 27403
Phone (336) 660-5390

109 Gateway Center Dr
Kernersville, NC 27284
Phone (336) 996-7001

216 Moore Rd
Ste 200
King, NC 27021
Phone (336) 719-6165

167 Moore Rd
Ste 203
King, NC 27021
Phone (336) 673-6490

215 Cemetery St
Mocksville, NC 27028
Phone (336) 893-2550

828 Jake Alexander Blvd W
Salisbury, NC 28147
Phone (704) 636-0111

1035 Lincolnton Rd
Ste A
Salisbury, NC 28144
Phone (704) 603-1352

512 Village Rd
Ste 102
Shallotte, NC 28470
Phone (330) 949-6210

4503 Main St
Ste 100
Shallotte, NC 28470

1010 Mendenhall St
Thomasville, NC 27360
Phone (336) 476-2520

200 Robinhood Medical Plz
Ste 2
Winston Salem, NC 27106
Phone (336) 718-7980

1903 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 718-6700

190 Kimel Park Dr
Ste 139
Winston Salem, NC 27103
Phone (336) 277-2225

5755 Shattalon Dr
Winston Salem, NC 27105
Phone (336) 744-2779

Networks

  • SC HMO

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779667200000",
    "number": "1013466564",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 VILLAGE RD STE 102",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284703409",
            "telephone_number": "910-721-3157",
            "fax_number": "910-754-5577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 Scotts Hill Medical Dr.",
            "address_2": "Ste. 200",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284118411",
            "country_code": "US",
            "telephone_number": "910-662-1870",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2710 Market St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284031218",
            "country_code": "US",
            "telephone_number": "910-662-8135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FOUNDATION HEALTH SYSTEMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-26",
        "last_updated": "2026-05-25",
        "certification_date": "2026-05-25",
        "status": "A",
        "authorized_official_last_name": "BIELEC",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "336-277-8757"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novant Health Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shallotte, NC

Sources for this page

Verify at the official NPI Registry.