Individual provider Active NPI

Carol A Tercyak, PT

  • Physical Therapist
  • Raleigh, NC
National Provider Identifier
1447489521
Registry record updated Sep 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8186 Issued in NC
Practice address
3001 Edwards Mill Rd
200
Raleigh, NC 27612-5243
Phone
(919) 781-4060
Fax
(919) 781-5246
NPI assigned
Jul 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2015

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 8186 NC Primary

Addresses

Primary practice location

3001 Edwards Mill Rd
200
Raleigh, NC 27612-5243

Mailing address

3001 Edwards Mill Rd
200
Raleigh, NC 27612-5243
Phone (919) 781-4060

Other identifiers 1

IdentifierTypeStateIssuer
P8186OtherNCLICENSE NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090918000221 NC Practitioner - Physical Therapist in Private Practice 3971659822 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raleigh Orthopaedic Clinic PAGroup PAC ID 9032012638, 125 clinicians
Broad River RehabilitationGroup PAC ID 3375801350, 210 clinicians

Practice addresses (Care Compare)

1325 Timber Dr E
Garner, NC 27529-6924
Phone (919) 781-5600

1999
Suite 119
Mebane, NC 27302
Phone (919) 737-7251

3001 Edwards Mill Rd
Raleigh, NC 27612-5243
Phone (919) 863-6856

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8186NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Orthopaedic Pharmacy CurrentSince Aug 12, 2009 Accepting new patients
Broad River Rehabilitation Physical Therapist CurrentSince Feb 4, 2026 Accepting new patients
Raleigh Orthopaedic Clinic PA CurrentSince Aug 12, 2009 Accepting new patients

Locations

1325 Timber Dr E
Garner, NC 27529
Phone (919) 863-6856

3001 Edwards Mill Rd
Ste 200
Raleigh, NC 27612
Phone (919) 863-6852

3001 Edwards Mill Rd
#200
Raleigh, NC 27612
Phone (919) 863-6853

3515 Glenwood Ave
Raleigh, NC 27612
Phone 91978156006856

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": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442188800000",
    "number": "1447489521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 EDWARDS MILL RD",
            "address_2": "200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276125243",
            "telephone_number": "919-781-4060",
            "fax_number": "919-781-5246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 EDWARDS MILL RD",
            "address_2": "200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276125243",
            "telephone_number": "919-781-4060",
            "fax_number": "919-781-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERCYAK",
        "first_name": "CAROL",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-09",
        "last_updated": "2015-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "8186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "P8186",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.