Individual provider Active NPI

William Giles

  • Physical Therapist
  • Fuquay Varina, NC
National Provider Identifier
1164871224
Registry record updated Jul 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P16352 Issued in NC
Practice address
704 N Judd Pkwy NE Ste 100
Fuquay Varina, NC 27526
Phone
(919) 896-7198
NPI assigned
Jun 9, 2016
Last updated
Jul 16, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P16352 NC Primary

Addresses

Primary practice location

704 N Judd Pkwy NE Ste 100
Fuquay Varina, NC 27526

Mailing address

1801 Olive Chapel Rd
Ste 103
Apex, NC 27502
Phone (919) 535-8758

Other practice location 1

2350 Bentridge Ln
Ste 102
Fayetteville, NC 28304-0590
Phone (910) 339-1731

Other practice location 2

400 US 70 Hwy E
Garner, NC 27529-4049
Phone (919) 882-7833

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160907002131 NC Practitioner - Physical Therapist in Private Practice 4981990546 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wakemed Specialists Group LLCGroup PAC ID 2466788377, 868 clinicians

Practice addresses (Care Compare)

3009 New Bern Ave
Raleigh, NC 27610-1214
Phone (919) 232-5020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P16352NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wakemed Specialists Group LLC CurrentSince Aug 22, 2019 Accepting new patients
Wakemed Specialists Group LLC CurrentSince Aug 22, 2019 Accepting new patients
Activcare Physical Therapy, LLC Physical Therapist CurrentSince Jun 15, 2016 Accepting new patients
Wakemed Specialists Group, LLC Current Accepting new patients

Locations

1801 Olive Chapel Rd
Ste 103
Apex, NC 27502
Phone (919) 373-5353

166 Springbrook Ave
Ste 201
Clayton, NC 27520
Phone (919) 535-8461

2350 Bentridge Ln
Apt 102
Fayetteville, NC 28304
Phone (910) 339-1731

2350 Bentridge Ln
Ste 100
Fayetteville, NC 28304
Phone (910) 339-1731

704 N Judd Pkwy NE
Ste 100
Fuquay Varina, NC 27526
Phone (919) 896-7158

400 US 70 Hwy E
Garner, NC 27529
Phone (919) 235-6400

10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300

10000 Falls of Neuse Rd
Ste 205
Raleigh, NC 27614
Phone (919) 350-1630

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

3009 New Bern Ave
Raleigh, NC 27610
Phone (919) 232-5021

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531699200000",
    "number": "1164871224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 OLIVE CHAPEL RD",
            "address_2": "STE 103",
            "city": "APEX",
            "state": "NC",
            "postal_code": "27502",
            "telephone_number": "919-535-8758",
            "fax_number": "919-535-3271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 N JUDD PKWY NE STE 100",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "27526",
            "telephone_number": "919-896-7198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2350 Bentridge Ln",
            "address_2": "STE 102",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283040590",
            "country_code": "US",
            "telephone_number": "910-339-1731",
            "fax_number": "910-339-1710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 US 70 Hwy E",
            "address_purpose": "LOCATION",
            "city": "Garner",
            "state": "NC",
            "postal_code": "275294049",
            "country_code": "US",
            "telephone_number": "919-882-7833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILES",
        "first_name": "WILLIAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-09",
        "last_updated": "2018-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P16352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fuquay Varina, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.