Fbt Of Wake Llc is a medicare enrolled "Clinic/center - Physical Therapy" provider in Wilson, North Carolina. Their current practice location is
2801 Ward Blvd Ste 5c, Wilson, North Carolina. You can reach out to their office (for appointments etc.) via phone at
(252) 281-2607.
Fbt Of Wake Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Fbt Of Wake Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1295577203.
Healthcare Provider's Profile
| Full Name | Fbt Of Wake Llc |
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| Type | Facility |
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| Speciality | Clinic/center - Physical Therapy |
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| Location | 2801 Ward Blvd Ste 5c, Wilson, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1295577203
- Provider Enumeration Date: 06/10/2024
- Last Update Date: 11/26/2025
Medicare PECOS Information:
- PECOS PAC ID: 4284165705
- Enrollment ID: O20241008001103
Medical Identifiers
Medical identifiers for Fbt Of Wake Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295577203 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Fbt Of Wake Llc acts as a billing entity for following providers:
| Provider Name | Martha Gwaltney |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1912258674
PECOS PAC ID: 2264666361
Enrollment ID: I20131003000103 |
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| Provider Name | Daniel Robert Burich |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1699064626
PECOS PAC ID: 5890170591
Enrollment ID: I20220916000331 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Fbt Of Wake Llc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Fbt Of Wake Llc
7225 Hasentree Club Dr,
Wake Forest, NC 27587-1710
Ph: (252) 281-2607 | Fbt Of Wake Llc
2801 Ward Blvd Ste 5c,
Wilson, NC 27893-1752
Ph: (252) 281-2607 |
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