Concierge Physical Therapy LLC
Organization Active NPI Physical Therapy Clinic/Center · Bahama, NC
NPI 1235936899 · NPPES record last updated Mar 5, 2025
Key facts
- NPI
- 1235936899
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- Legal business name
- CONCIERGE PHYSICAL THERAPY LLC
- Practice address
- 9708 Colt Dr
Bahama, NC 27503-9699 - Phone
- (740) 605-6881
- NPI assigned
- Feb 28, 2025
- Organization subpart
- No
Authorized official
- Name
- Dr. William Harold Nutt II, DPT
- Title
- Owner/Physical Therapist
- Phone
- (740) 605-6881
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251028002488 | NC | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 1254820590 |
Receives reassigned benefits from 1 practitioner Practice locations: Roxboro, NC |
National Provider Directory
Locations
721 N Main St
Roxboro, NC 27573
Phone (336) 739-3430
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Yes |
Addresses
Primary practice location
9708 Colt Dr
Bahama, NC 27503-9699
Mailing address
9708 Colt Dr
Bahama, NC 27503-9699
Phone (336) 739-3430
Other providers in Bahama, NC
- A Couples Place, Inc
- Gina McCall Ashman
- Jennifer Eve Bachman
- Discovery Charter School
- Melissa Flintom
- Kristy Renee Gary
- Hospital Traveler
- Innovative OT Solutions, Inc
All providers in Bahama, NC · Physical Therapy Clinic/Center in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.