Providence Physical Therapy, LLC
NPI 1326564287 · Physical Therapy Clinic/Center · Surf City, NC
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Providence Physical Therapy, LLC is a Physical Therapy Clinic/Center organization in Surf City, NC (NPI 1326564287).
Provider details
- NPI number
- 1326564287
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- David Deitz, Owner/Manager(901) 803-2040
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-08-22
- Last updated
- 2026-04-14
- Certified
- 2026-04-14
Frequently asked questions
- What is Providence Physical Therapy, LLC's NPI number?
- Providence Physical Therapy, LLC's National Provider Identifier (NPI) is 1326564287, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Physical Therapy, LLC?
- Providence Physical Therapy, LLC is classified in the NPPES registry as Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Providence Physical Therapy, LLC located?
- Providence Physical Therapy, LLC's practice location on file with NPPES is 107 Triton Ln, Surf City, NC 28445-6923.
- What is Providence Physical Therapy, LLC's phone number?
- The practice phone number listed in the NPPES registry for Providence Physical Therapy, LLC is (910) 803-2040.
- Does Providence Physical Therapy, LLC accept Medicare?
- Providence Physical Therapy, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Providence Physical Therapy, LLC?
- The authorized official listed on Providence Physical Therapy, LLC's NPPES record is David Deitz, Owner/Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Physical Therapy, LLC's NPI active?
- Yes — Providence Physical Therapy, LLC's NPI (1326564287) is active in the NPPES registry as of the last update on 2026-04-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.