Active NPI
Core Therapy Services, Inc.
Doing business as Core Physical Therapy
- Physical Therapist
- Leland, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brian C Tantilla, PT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Therapist
- Leland, NC
- NPI 1851307441
-
- Physical Therapist
- Leland, NC
- NPI 1093957540
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.