Individual provider Active NPI

Joshua R Tedesco, DPT

  • Physical Therapist
  • Wilson, NC
National Provider Identifier
1285331306
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P22708 Issued in NC
Practice address
2303 Wellington Dr SW Ste B
Wilson, NC 27893-8620
Phone
(252) 243-6818
Fax
(252) 243-9557
NPI assigned
Feb 9, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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 P22708 NC Primary

Addresses

Primary practice location

2303 Wellington Dr SW Ste B
Wilson, NC 27893-8620

Mailing address

2303 Wellington Dr SW Ste B
Wilson, NC 27893-8620
Phone (252) 243-6818

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241209002546 NC Practitioner - Physical Therapist in Private Practice 9335504505 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Therapy of North Carolina Inc CurrentSince Oct 1, 2024 Accepting new patients
Proactive Therapy of North Carolina Inc CurrentSince Oct 1, 2024 Accepting new patients
Proactive Therapy of North Carolina Inc Current Accepting new patients

Locations

2358 US Highway 70
Ste Ab
Swannanoa, NC 28778
Phone (828) 686-3375

2303 Wellington Dr SW
Ste B
Wilson, NC 27893
Phone (252) 243-6818

2303 Wellington Dr SW
Wilson, NC 27893
Phone (252) 237-5090

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1675900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1285331306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 WELLINGTON DR SW STE B",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278938620",
            "telephone_number": "252-243-6818",
            "fax_number": "252-243-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 WELLINGTON DR SW STE B",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278938620",
            "telephone_number": "252-243-6818",
            "fax_number": "252-243-9557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEDESCO",
        "first_name": "JOSHUA",
        "middle_name": "R",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-09",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P22708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.