NPIMap

Organization Active NPI

Foundation Health Systems LLC

Doing business as Novant Health Rehabilitation Center

  • Physical Therapy Clinic/Center
  • Waxhaw, NC
National Provider Identifier
1821816026
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
FOUNDATION HEALTH SYSTEMS LLC
Doing business as
Novant Health Rehabilitation Center
Practice address
3614 S Providence Rd Ste 100
Waxhaw, NC 28173-6310
Phone
(704) 384-8640
Fax
(704) 384-8675
NPI assigned
Sep 27, 2024
Last updated
Jul 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Authorized official

Name
Gregory Bielec
Title
VP Rehabilitation Services
Phone
(336) 277-8757

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

3614 S Providence Rd Ste 100
Waxhaw, NC 28173-6310

Mailing address

PO Box 601791
Charlotte, NC 28260-1791
Phone (336) 751-8003

Other practice location 1

9025 Novant Health Pkwy
Ste 200
Charlotte, NC 28215
Phone (980) 302-7715

Other names 1

  • Novant Health Rehabilitation Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250206002572 NC Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 5597679613 Practice locations: Waxhaw, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821816026. Details of each certification follow.

  • CCN 346702 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 346702

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
Novant Health Rehabilitation Center
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Nov 9, 2025
Last certification
Oct 21, 2025
Facility address
3614 S Providence Rd., Ste. 100
Waxhaw, NC 28173

Other NPIs with the same Medicare PAC ID 5

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

National Provider Directory

National Provider Directory
Tax ID family
Salem MRI Center30 organizations share this tax ID, including this one

Other organizations with this tax ID 29

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

View all 29

Member of 1

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

NPI Registry JSON

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

{
    "created_epoch": "1727395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784505600000",
    "number": "1821816026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601791",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601791",
            "telephone_number": "336-751-8003",
            "fax_number": "336-751-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3614 S PROVIDENCE RD STE 100",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281736310",
            "telephone_number": "704-384-8640",
            "fax_number": "704-384-8675"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9025 Novant Health Pkwy",
            "address_2": "Ste 200",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "28215",
            "country_code": "US",
            "telephone_number": "980-302-7715",
            "fax_number": "980-302-7721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FOUNDATION HEALTH SYSTEMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-27",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A",
        "authorized_official_last_name": "BIELEC",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "VP REHABILITATION SERVICES",
        "authorized_official_telephone_number": "336-277-8757"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novant Health Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waxhaw, NC

Sources for this page

Verify at the official NPI Registry.