NPIMap

Organization Active NPI

Physicians Total Rehab Inc.

  • Physical Medicine & Rehabilitation Physician
  • Fayetteville, NC
National Provider Identifier
1619979226
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
39135 Issued in NC
Legal business name
PHYSICIANS TOTAL REHAB INC.
Practice address
2930 Village Dr
Fayetteville, NC 28304-3815
Phone
(910) 323-9010
Fax
(910) 323-9568
NPI assigned
Aug 12, 2005
Last updated
Sep 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Authorized official

Name
Dr. Zane T Walsh Jr., MDNPI 1033111760
Title
Medical Director
Phone
(910) 323-9010

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 Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X 39135 NC Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X NC
Physical Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 225200000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X NC

Addresses

Primary practice location

2930 Village Dr
Fayetteville, NC 28304-3815

Mailing address

2930 Village Dr
Fayetteville, NC 28304-3815
Phone (910) 323-9010

Other identifiers 5

IdentifierTypeStateIssuer
0104POtherNCBCBS NC
932583OtherNCMAILHANDLERS
7200229MedicaidNC
6438888OtherNCPHYSICIANS HEALTH PLAN
248124OtherNYMAMSI

Other names 1

  • PHYSICANS TOTAL REHAB OF FAYETTEVILLE, INC Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100505000998 NC Part A Provider - Comprehensive Outpatient Rehabilitation Facility 3577691906 Practice locations: Fayetteville, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1619979226. Details of each certification follow.

  • CCN 344508 Comprehensive outpatient rehabilitation facility · Active · Name & address match · Details

Comprehensive outpatient rehabilitation facility certification: CCN 344508

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
PHYSICIANS TOTAL REHAB
Certification status
Active
Provider type (POS)
Comprehensive outpatient rehabilitation facility
Participating since
Jul 27, 1993
Last certification
Jul 17, 2019
Ownership / control type
Proprietary
Facility address
2930 Village Drive
Fayetteville, NC 28304

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788825600000",
    "number": "1619979226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 VILLAGE DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043815",
            "telephone_number": "910-323-9010",
            "fax_number": "910-323-9568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 VILLAGE DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043815",
            "telephone_number": "910-323-9010",
            "fax_number": "910-323-9568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS TOTAL REHAB INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-12",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "ZANE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "910-323-9010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NC",
            "license": "39135",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "0104P",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAILHANDLERS",
            "identifier": "932583",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7200229",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIANS HEALTH PLAN",
            "identifier": "6438888",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "248124",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHYSICANS TOTAL REHAB OF FAYETTEVILLE, INC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "PHYSICANS TOTAL REHAB OF FAYETTEVILLE, INC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.