Individual provider Active NPI

Eric Fiedler, DPT

  • Physical Therapist
  • Wake Forest, NC
National Provider Identifier
1902285018
Registry record updated May 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P15573 Issued in NC
Practice address
10560 Ligon Mill Rd
Suite 109
Wake Forest, NC 27587-6090
Phone
(919) 556-4678
Fax
(919) 556-4619
NPI assigned
May 21, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2015

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 P15573 NC Primary

Addresses

Primary practice location

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

Mailing address

10560 Ligon Mill Rd
Suite 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
I20150808015966 NC Practitioner - Physical Therapist in Private Practice 4587978242 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1001 Darrington Dr
Suite 100
Cary, NC 27513-8133
Phone (919) 882-6100

Merit-based Incentive Payment System (MIPS)

Final score
75.32 of 100Reported as group
Quality
51.99
Improvement activities
40
Cost
81.74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P15573NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Orthopaedic Surgery & Sports Medicine, PA CurrentSince Aug 25, 2025 Accepting new patients

Locations

1001 Darrington Dr
#100
Cary, NC 27513
Phone (919) 882-6100

3701 NW Cary Pkwy
Ste 305
Cary, NC 27513
Phone (919) 876-6755

3801 Wake Forest Rd
Ste 220
Raleigh, NC 27609
Phone (919) 872-5296

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2104/brand/1/csg/1/fhir/r4
  • Direct secure messaging: eric.fiedler.1@2104.direct.athenahealth.com

Organizations & group practices 1

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": "1432166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432166400000",
    "number": "1902285018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10560 LIGON MILL RD",
            "address_2": "SUITE 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",
            "address_2": "SUITE 109",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275876090",
            "telephone_number": "919-556-4678",
            "fax_number": "919-556-4619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIEDLER",
        "first_name": "ERIC",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-21",
        "last_updated": "2015-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P15573",
            "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 May 21, 2015; 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.