Mediq Physical Therapy in Holly Springs, NC - Medicare Physical Therapist Provider

Mediq Physical Therapy is a medicare enrolled "Physical Therapist" provider in Holly Springs, North Carolina. Their current practice location is 204 Matthews Dr, Holly Springs, North Carolina. You can reach out to their office (for appointments etc.) via phone at (919) 578-4200.

Mediq Physical Therapy is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Mediq Physical Therapy 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 1801561741.

Contact Information

	Mediq Physical Therapy
	204 Matthews Dr, Holly Springs, NC 27540-4302
	(919) 578-4200
	(919) 578-9922

Map and Direction

Healthcare Provider's Profile

Full Name	Mediq Physical Therapy
Type	Facility
Speciality	Physical Therapist
Location	204 Matthews Dr, Holly Springs, North Carolina
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801561741
Provider Enumeration Date: 08/12/2021
Last Update Date: 09/11/2025

Medicare PECOS Information:

PECOS PAC ID: 2567841638
Enrollment ID: O20220621000039

Medical Identifiers

Medical identifiers for Mediq Physical Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801561741	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (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. Mediq Physical Therapy acts as a billing entity for following providers:

Provider Name	Sean Patrick Bouthilette
Provider Type	Practitioner - Physical Therapist In Private Practice
Provider Identifiers	NPI Number: 1871078386 PECOS PAC ID: 0840544680 Enrollment ID: I20220519000477

Provider Name	Jibran Qayumi
Provider Type	Practitioner - Physical Therapist In Private Practice
Provider Identifiers	NPI Number: 1043748957 PECOS PAC ID: 3476932542 Enrollment ID: I20220621000071

Provider Name	Zachary James Rhyner
Provider Type	Practitioner - Physical Therapist In Private Practice
Provider Identifiers	NPI Number: 1164125167 PECOS PAC ID: 0941669766 Enrollment ID: I20230711002063

Provider Name	Aidan Swift
Provider Type	Practitioner - Physical Therapist In Private Practice
Provider Identifiers	NPI Number: 1851025878 PECOS PAC ID: 5799155263 Enrollment ID: I20250303002541

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. Mediq Physical Therapy 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
Mediq Physical Therapy 204 Matthews Dr, Holly Springs, NC 27540-4302 Ph: (919) 578-4200	Mediq Physical Therapy 204 Matthews Dr, Holly Springs, NC 27540-4302 Ph: (919) 578-4200

Reviews and Comments

Physical Therapist in Holly Springs, NC

Vishwa Bhargav Bhalodia, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 500 Village Walk Dr, Holly Springs, NC 27540 Phone: 919-258-2200
Mr. Douglas Dennis Frie, MAPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 Bryce Meadow Dr, Holly Springs, NC 27540 Phone: 919-267-3114
Sean Thomas Nixon, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 500 Village Walk Dr, Holly Springs, NC 27540 Phone: 919-258-2200
Mrs. Kelly Ommundsen, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4302 Osage Dr, Holly Springs, NC 27540 Phone: 609-213-3059
Mrs. Courtney Fortune Davis, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6213 Hilbert Ridge Dr, Holly Springs, NC 27540 Phone: 252-341-3392
Dr. Jibran Qayumi, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 204 Matthews Drive, Holly Springs, NC 27540 Phone: 919-578-4200 Fax: 919-578-9922
Margaret Wells, Physical Therapist Medicare: Medicare Enrolled Practice Location: 851 S Main St, Holly Springs, NC 27540 Phone: 919-467-4992

Mediq Physical Therapy - Medicare Physical Therapist in Holly Springs, NC