Individual provider Active NPI

Rebecca Fanning

  • Physical Therapist
  • Wilson, NC
National Provider Identifier
1821717745
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P22850 Issued in NC
Practice address
1803 Forest Hills Rd W
Wilson, NC 27893-3412
Phone
(252) 243-9629
NPI assigned
Aug 24, 2022
Last updated
Dec 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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 P22850 NC Primary

Addresses

Primary practice location

1803 Forest Hills Rd W
Wilson, NC 27893-3412

Mailing address

PO Box 5105
Belfast, ME 04915-5100

Other practice location 1

119 Office Park Dr
Orangeburg, SC 29118-2407
Phone (803) 937-5605

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221129003341 SC Practitioner - Physical Therapist in Private Practice 5799153409 Reassigns benefits to 1 organization
I20231208001854 NC Practitioner - Physical Therapist in Private Practice 5799153409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergeortho PAGroup PAC ID 0749188894, 726 clinicians

Practice addresses (Care Compare)

1803 Forest Hills Rd W
Wilson, NC 27893-3412
Phone (252) 243-9629

Merit-based Incentive Payment System (MIPS)

Final score
89.07 of 100Reported as group
Quality
85.94
Promoting interoperability
100
Improvement activities
40
Cost
77.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P22850NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Works Physical Therapy, LLC Physical Therapist CurrentSince Aug 10, 2022 Accepting new patients
Emergeortho PA Physical Therapist CurrentSince Oct 2, 2023 Accepting new patients
Emergeortho PA CurrentSince Oct 2, 2023 Accepting new patients

Locations

120 William Penn Plz
Durham, NC 27704
Phone (919) 281-1836

1803 Forest Hills Rd W
Wilson, NC 27893
Phone (252) 237-9200

3374 Railroad Ave
Bamberg, SC 29003
Phone (803) 245-0808

119 Office Park Dr
Orangeburg, SC 29118
Phone (803) 536-5509

Interoperability endpoints

  • Direct secure messaging: rebecca.fanning.1@847.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1821717745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5105",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049155100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 FOREST HILLS RD W",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933412",
            "telephone_number": "252-243-9629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 Office Park Dr",
            "address_purpose": "LOCATION",
            "city": "Orangeburg",
            "state": "SC",
            "postal_code": "291182407",
            "country_code": "US",
            "telephone_number": "803-937-5605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FANNING",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-24",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P22850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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.