Brian C Tantilla, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10015 Issued in NC

Practice address

1107 New Pointe Blvd Suite B-6
Core Therapy Services
Leland, NC 28451-4217

Phone

(910) 399-1922

Fax

(866) 844-3505

NPI assigned

Aug 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Core Therapy Services IncGroup PAC ID 4981750122, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Core Therapy Services, Inc.

  • Physical Therapist
  • Leland, NC
  • NPI 1407085418
  Medicare reassignment Care Compare group NPD Authorized official
• Butler Family Chiropractic, PLLC

  • Chiropractor
  • Jacksonville, NC
  • NPI 1558134981
  NPD (past)
• Physical Therapy Clinic Inc

  • Physical Therapist
  • Jacksonville, NC
  • NPI 1285679373
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490227200000",
    "number": "1851307441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 NEW POINTE BLVD SUITE B-6",
            "address_2": "CORE THERAPY SERVICES",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284514217",
            "telephone_number": "910-399-1922",
            "fax_number": "866-844-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 NEW POINTE BLVD SUITE B-6",
            "address_2": "CORE THERAPY SERVICES",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284514217",
            "telephone_number": "910-399-1922",
            "fax_number": "866-844-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANTILLA",
        "first_name": "BRIAN",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2017-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "10015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC PROVIDER NUMBER",
            "identifier": "079NC",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yvonne Nicole Sullivn
• Sunshine Speech Therapy, Inc.
• Swell Vision Optometry
• Malgorzata Anna Szelwach, OTD, OTR/L
• Talk With Me, Inc.
• Kaitlyn Nicole Taylor, PA-C
• Mason Taylor, DDS
• Michael Taylor, MS, LAT, ATC
• Cassandra Tellez
• Tendwell Counseling, PLLC

• Physical Therapist in Leland, NC
• Providers in Leland, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; 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.