Active NPI
FBTC Transitional Sub, LLC
- Speech-Language Pathologist
- Matthews, NC
National Provider Identifier
1972249274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- FBTC TRANSITIONAL SUB, LLC
- Practice address
- 1216 Mann Dr
Matthews, NC 28105-5512 - Phone
- (508) 942-3075
- Fax
- (508) 584-2227
- NPI assigned
- May 10, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Patricia Rodenberg-Roberts
- Title
- VP& Sr Asst General Counsel
- Phone
- (952) 836-2234
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Feeding, Eating & Swallowing Occupational Therapy Assistant | 224ZF0002X | |||
| Physical Therapist | 225100000X | |||
| Pediatric Occupational Therapist | 225XP0200X | |||
| Speech-Language Pathologist | 235Z00000X | Primary | ||
| Developmental Disabilities Clinic/Center | 261QD1600X | |||
| Hearing and Speech Clinic/Center | 261QH0700X | |||
| Physical Therapy Clinic/Center | 261QP2000X |
Addresses
Primary practice location
1216 Mann Dr
Matthews, NC 28105-5512
Mailing address
6600 France Ave S Ste 350
Edina, MN 55435-1810
Phone (800) 388-5150
Other names 1
- Whole Health Behavioral Solutions
National Provider Directory
National Provider Directory- Part of
- FBTC Transitional Sub LLC
Locations
1216 Mann Dr
Matthews, NC 28105
Phone (919) 457-3377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652140800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780704000000",
"number": "1972249274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 FRANCE AVE S STE 350",
"city": "EDINA",
"state": "MN",
"postal_code": "554351810",
"telephone_number": "800-388-5150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1216 MANN DR",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281055512",
"telephone_number": "508-942-3075",
"fax_number": "508-584-2227"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FBTC TRANSITIONAL SUB, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-10",
"last_updated": "2026-06-06",
"certification_date": "2026-06-06",
"status": "A",
"authorized_official_last_name": "RODENBERG-ROBERTS",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "PATRICIA",
"authorized_official_title_or_position": "VP& SR ASST GENERAL COUNSEL",
"authorized_official_telephone_number": "952-836-2234"
},
"taxonomies": [
{
"code": "224ZF0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapy Assistant, Feeding, Eating & Swallowing",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QH0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, Hearing and Speech",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Whole Health Behavioral Solutions",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Matthews, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.