NPIMap

Organization Active NPI

Foundation Health Systems LLC

Doing business as Novant Health Rehabilitation Center

  • Physical Therapy Clinic/Center
  • Winston Salem, NC
National Provider Identifier
1205894029
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
Doing business as
Novant Health Rehabilitation Center
Practice address
1903 S Hawthorne Rd
Winston Salem, NC 27103-3916
Phone
(336) 718-6700
Fax
(336) 718-6798
NPI assigned
May 2, 2006
Last updated
May 25, 2026By the provider in NPPES
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
Gregory Bielec
Title
Director
Phone
(336) 277-8757

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X
Physical Therapist 225100000X
Occupational Therapist 225X00000X
Speech-Language Pathologist 235Z00000X

Addresses

Primary practice location

1903 S Hawthorne Rd
Winston Salem, NC 27103-3916

Mailing address

PO Box 601791
Charlotte, NC 28260-1791

Other practice location 1

190 Kimel Park Dr Ste 139
Winston Salem, NC 27103-6946
Phone (336) 718-6931

Other practice location 2

1010 Mendenhall St
Thomasville, NC 27360-2546
Phone (336) 476-2520

Other practice location 3

7210 Village Medical Cir Ste 115
Clemmons, NC 27012-8029
Phone (336) 893-2460

Other practice location 4

3155 Maplewood Ave
Winston Salem, NC 27103-3903
Phone (336) 718-7980

Other practice location 5

152 E Kinderton Way Ste 202
Advance, NC 27006-7351
Phone (336) 893-3220

Other practice location 6

770 Highland Oaks Dr Ste 100
Winston Salem, NC 27103-7105
Phone (336) 718-1970

Other practice location 7

215 Cemetery St
Mocksville, NC 27028-2103
Phone (336) 893-2550

Other practice location 8

144 Forest Hill Rd Ste 144
Lexington, NC 27295-2008
Phone (336) 893-2550

Other practice location 9

865 Westlake Dr
Mount Airy, NC 27030-2102
Phone (336) 719-6165

Other practice location 10

167 Moore Rd Ste 203
King, NC 27021-8770
Phone (336) 719-6165

Other practice location 11

3474 Robinhood Rd
Winston Salem, NC 27106-4702
Phone (336) 774-9977

Other practice location 12

515 Pineview Dr
Kernersville, NC 27284-3664
Phone (336) 996-7001

Other practice location 13

3515 W Market St
Greensboro, NC 27403-4438
Phone (336) 660-5390

Other practice location 14

203 Old Lexington Rd Ste 103
Thomasville, NC 27360-3428
Phone (336) 476-2520

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
O20050825000549 NC Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 5597679613 Practice locations: Winston Salem, NC; Mooresville, NC; Mount Airy, NC; Salisbury, NC; Thomasville, NC; Winston-Salem, NC; Lexington, NC; Mocksville, NC…

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1205894029. Details of each certification follow.

  • CCN 346643 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 346643

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
Nov 30, 2005
Last certification
Nov 8, 2023
Ownership / control type
Voluntary Non-Profit Other Than Church
Facility address
1903 South Hawthorne Rd.
Winston Salem, NC 27103

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

75 Emerson Bay Rd
Carolina Shores, NC 28467
Phone (910) 579-8363

8045 Providence Rd
Charlotte, NC 28277

3311 Jessie Village Dr
Clemmons, NC 27012
Phone (336) 659-4135

7144 Village Medical Cir
Clemmons, NC 27012
Phone (336) 893-1436

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

445 Pineview Dr
Ste 200A
Kernersville, NC 27284
Phone (336) 331-8466

515 Pineview Dr
Kernersville, NC 27284
Phone (336) 996-7001

1205 Mann Dr
Matthews, NC 28105
Phone (704) 323-3278

512 Village Rd
Ste 102
Shallotte, NC 28470
Phone (910) 721-3157

101 Delta Park Dr
Shelby, NC 28150
Phone (704) 323-2090

203 Old Lexington Rd
Ste 103
Thomasville, NC 27360
Phone (336) 476-2520

109 Scotts Hill Medical Dr
Ste 2
Wilmington, NC 28411

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

200 Robinhood Medical Plz
#2
Winston Salem, NC 27106

200 Robinhood Medical Plz
Ste 1
Winston Salem, NC 27106

200 Robinhood Medical Plz
Ste 11
Winston Salem, NC 27106

770 Highland Oaks Dr
Winston Salem, NC 27103
Phone (336) 718-6700

Practitioners & affiliated clinicians

Practitioners 285

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 285

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779667200000",
    "number": "1205894029",
    "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": "1903 S HAWTHORNE RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033916",
            "telephone_number": "336-718-6700",
            "fax_number": "336-718-6798"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "190 Kimel Park Dr Ste 139",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271036946",
            "country_code": "US",
            "telephone_number": "336-718-6931",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1010 Mendenhall St",
            "address_purpose": "LOCATION",
            "city": "Thomasville",
            "state": "NC",
            "postal_code": "273602546",
            "country_code": "US",
            "telephone_number": "336-476-2520",
            "fax_number": "336-474-8179",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7210 Village Medical Cir Ste 115",
            "address_purpose": "LOCATION",
            "city": "Clemmons",
            "state": "NC",
            "postal_code": "270128029",
            "country_code": "US",
            "telephone_number": "336-893-2460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3155 Maplewood Ave",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271033903",
            "country_code": "US",
            "telephone_number": "336-718-7980",
            "fax_number": "336-660-5399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "152 E Kinderton Way Ste 202",
            "address_purpose": "LOCATION",
            "city": "Advance",
            "state": "NC",
            "postal_code": "270067351",
            "country_code": "US",
            "telephone_number": "336-893-3220",
            "fax_number": "336-893-3228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "770 Highland Oaks Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271037105",
            "country_code": "US",
            "telephone_number": "336-718-1970",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 Cemetery St",
            "address_purpose": "LOCATION",
            "city": "Mocksville",
            "state": "NC",
            "postal_code": "270282103",
            "country_code": "US",
            "telephone_number": "336-893-2550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "144 Forest Hill Rd Ste 144",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "NC",
            "postal_code": "272952008",
            "country_code": "US",
            "telephone_number": "336-893-2550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "865 Westlake Dr",
            "address_purpose": "LOCATION",
            "city": "Mount Airy",
            "state": "NC",
            "postal_code": "270302102",
            "country_code": "US",
            "telephone_number": "336-719-6165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "167 Moore Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "King",
            "state": "NC",
            "postal_code": "270218770",
            "country_code": "US",
            "telephone_number": "336-719-6165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3474 Robinhood Rd",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271064702",
            "country_code": "US",
            "telephone_number": "336-774-9977",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "515 Pineview Dr",
            "address_purpose": "LOCATION",
            "city": "Kernersville",
            "state": "NC",
            "postal_code": "272843664",
            "country_code": "US",
            "telephone_number": "336-996-7001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3515 W Market St",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274034438",
            "country_code": "US",
            "telephone_number": "336-660-5390",
            "fax_number": "336-660-5399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "203 Old Lexington Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Thomasville",
            "state": "NC",
            "postal_code": "273603428",
            "country_code": "US",
            "telephone_number": "336-476-2520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FOUNDATION HEALTH SYSTEMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2026-05-25",
        "certification_date": "2026-05-25",
        "status": "A",
        "authorized_official_last_name": "BIELEC",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "336-277-8757"
    },
    "taxonomies": [
        {
            "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
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "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 Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.