Organization Active NPI

Core Therapy Services, Inc.

Doing business as Core Physical Therapy

  • Physical Therapist
  • Leland, NC
National Provider Identifier
1407085418
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CORE THERAPY SERVICES, INC.
Doing business as
Core Physical Therapy
Practice address
1107 New Pointe Blvd
Suite B-6
Leland, NC 28451-4127
Phone
(910) 399-1922
Fax
(866) 844-3505
NPI assigned
Jul 11, 2009
Last updated
Apr 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Authorized official

Name
Dr. Brian C Tantilla, PTNPI 1851307441
Title
President / Co-Owner
Phone
(910) 399-1922

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Geriatric Physical Therapist 2251G0304X NU
Sports Physical Therapist 2251S0007X NU
Orthopedic Physical Therapist 2251X0800X NU

Addresses

Primary practice location

1107 New Pointe Blvd
Suite B-6
Leland, NC 28451-4127

Mailing address

1107 New Pointe Blvd
Suite B-6
Leland, NC 28451-4127
Phone (910) 399-1922

Other names 1

  • Core Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090914000313 NC Part B Supplier - Clinic/Group Practice 4981750122 Receives reassigned benefits from 2 practitioners
Practice locations: Leland, NC

National Provider Directory

National Provider Directory

Locations

1107 New Pointe Blvd
#B19
Leland, NC 28451
Phone (910) 253-5885

1107 New Pointe Blvd
Ste B6
Leland, NC 28451
Phone (910) 399-1922

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1247270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1407085418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 NEW POINTE BLVD",
            "address_2": "SUITE B-6",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284514127",
            "telephone_number": "910-399-1922",
            "fax_number": "866-844-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 NEW POINTE BLVD",
            "address_2": "SUITE B-6",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284514127",
            "telephone_number": "910-399-1922",
            "fax_number": "866-844-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE THERAPY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-11",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "TANTILLA",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT / CO-OWNER",
        "authorized_official_telephone_number": "910-399-1922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Core Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Core Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leland, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.