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Organization Active NPI

Proactive Therapy of North Carolina Inc

  • Physical Therapy Clinic/Center
  • Wilson, NC
National Provider Identifier
1477559771
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PROACTIVE THERAPY OF NORTH CAROLINA INC
Practice address
2303 Wellington Dr SW Ste B
Wilson, NC 27893-8620
Phone
(252) 243-6818
NPI assigned
Jun 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Authorized official

Name
John F Duggan
Title
Vice President
Phone
(717) 972-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NC Primary

Addresses

Primary practice location

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

Mailing address

4714 Gettysburg Rd
Legal Department
Mechanicsburg, PA 17055-4325
Phone (717) 972-1100

Other practice location 1

804 English Rd Ste 110
Rocky Mount, NC 27804-6023
Phone (252) 443-6627

Other practice location 2

2340 Hemby Ln Ste 200
Greenville, NC 27834-3792
Phone (252) 758-5000

Other practice location 3

404 Airport Rd
Kinston, NC 28504-8226
Phone (252) 522-1960

Other practice location 4

2413 Professional Dr
Rocky Mount, NC 27804-2254
Phone (717) 972-1100

Other practice location 5

4155 Ferncreek Dr Ste 201
Fayetteville, NC 28314-2576
Phone (910) 484-8492

Other practice location 6

316 Dolphin Dr
Jacksonville, NC 28546-5266
Phone (910) 346-3151

Other names 2

  • NovaCare Rehabilitation Doing business as
  • Select Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20030113000001 NC Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 6305753120 Practice locations: Jacksonville, NC; Wilson, NC; Rocky Mount, NC; Kinston, NC; Greenville, NC; Fayetteville, NC
O20130207000475 NC Part B Supplier - Clinic/Group Practice 6305753120 Receives reassigned benefits from 88 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Marion, NC; Raleigh, NC; Pittsboro, NC; Rocky Mount, NC; Sanford, NC; Southern Pines, NC; Swannanoa, NC; Wake Forest, NC…

Outpatient physical therapy / speech pathology certification: CCN 346598

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
NOVACARE OUTPATIENT REHABILITATION
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Dec 4, 1996
Last certification
Mar 27, 2018
Ownership / control type
Proprietary
Most recent change of ownership
Dec 1, 2002
Facility address
2303 Wellington Drive, Suite B
Wilson, NC 27893

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Pro Active Therapy4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2340 Hemby Ln
Ste 200
Greenville, NC 27834
Phone (252) 758-5000

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

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761004800000",
    "number": "1477559771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "address_2": "LEGAL DEPARTMENT",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554325",
            "telephone_number": "717-972-1100",
            "fax_number": "717-975-9981"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "804 English Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Rocky Mount",
            "state": "NC",
            "postal_code": "278046023",
            "country_code": "US",
            "telephone_number": "252-443-6627",
            "fax_number": "252-443-0709",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2340 Hemby Ln Ste 200",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278343792",
            "country_code": "US",
            "telephone_number": "252-758-5000",
            "fax_number": "252-758-1480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "404 Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Kinston",
            "state": "NC",
            "postal_code": "285048226",
            "country_code": "US",
            "telephone_number": "252-522-1960",
            "fax_number": "252-522-3298",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2413 Professional Dr",
            "address_purpose": "LOCATION",
            "city": "Rocky Mount",
            "state": "NC",
            "postal_code": "278042254",
            "country_code": "US",
            "telephone_number": "717-972-1100",
            "fax_number": "717-975-9981",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4155 Ferncreek Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283142576",
            "country_code": "US",
            "telephone_number": "910-484-8492",
            "fax_number": "910-484-2629",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "316 Dolphin Dr",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "285465266",
            "country_code": "US",
            "telephone_number": "910-346-3151",
            "fax_number": "910-346-2975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROACTIVE THERAPY OF NORTH CAROLINA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A",
        "authorized_official_last_name": "DUGGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "717-972-1100"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NovaCare Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Select Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilson, NC

Sources for this page

Verify at the official NPI Registry.