Individual provider Active NPI

Brian Gentile

  • Physical Therapist
  • Wake Forest, NC
National Provider Identifier
1740467620
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10804 Issued in NC
Practice address
10560 Ligon Mill Rd Ste 109
Wake Forest, NC 27587-6090
Phone
(919) 556-4678
Fax
(919) 556-4619
NPI assigned
Jan 23, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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 10804 NC Primary

Addresses

Primary practice location

10560 Ligon Mill Rd Ste 109
Wake Forest, NC 27587-6090

Mailing address

10560 Ligon Mill Rd Ste 109
Wake Forest, NC 27587-6090
Phone (919) 556-4678

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080226000535 NC Practitioner - Physical Therapist in Private Practice 5597849836 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Physical Therapy Associates LLCGroup PAC ID 7315094463, 10 clinicians

Practice addresses (Care Compare)

10560 Ligon Mill Rd
Suite 109
Wake Forest, NC 27587-6090
Phone (919) 556-4619

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10804NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Physical Therapy Associates, LLC Physical Therapist CurrentSince Aug 16, 2022 Accepting new patients
Advanced Therapy, PLLC Physical Therapist CurrentSince Mar 1, 2008 Accepting new patients
Advanced Therapy Physical Therapist PastSince Mar 1, 2008 Accepting new patients

Locations

8300 Falls of Neuse Rd
Ste 104
Raleigh, NC 27615
Phone (919) 426-9292

10560 Ligon Mill Rd
#109
Wake Forest, NC 27587
Phone (919) 556-4619

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": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1740467620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10560 LIGON MILL RD STE 109",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275876090",
            "telephone_number": "919-556-4678",
            "fax_number": "919-556-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10560 LIGON MILL RD STE 109",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275876090",
            "telephone_number": "919-556-4678",
            "fax_number": "919-556-4619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTILE",
        "first_name": "BRIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-23",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "10804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; 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.