Providence Physical Therapy, LLC in Surf City, NC
This location of Providence Physical Therapy bills under NPI 1326564287, an organization record issued on Aug 22, 2017 with the primary taxonomy Physical Therapy Clinic/Center. It is one of 4 NPIs registered under this name; each clinician who sees you there has their own NPI and license.
Organization recordNPPES, Aug 2026
1326564287
- Legal name
- Providence Physical Therapy, LLC
- Entity
- Type 2 · organization
- Primary taxonomy
- Physical Therapy Clinic/Center 261QP2000X
- Practice location
- 107 TRITON LN, Surf City, NC 28445
- Phone
- 910-803-2040
- Mailing address
- Hampstead, NC
- Enumerated
- Aug 22, 2017
- Record updated
- Apr 14, 2026
- Authorized official
- Owner/Manager (title as filed)
4 clinicians CMS lists with Providence Physical Therapy in Surf City
- Keely Brown, PTPhysical Therapist1366877870
- Ryan Busalacchi, DPTPhysical Therapist1508548900
- David Deitz, PT, DPT, OCSPhysical Therapist1508859034
- Tina Fortier, PTPhysical Therapist1184896946
Source: CMS Doctors and Clinicians group affiliations, matched by practice name and city.
All 4 Providence Physical Therapy NPIs
Every location registered under this name, in 4 cities.
See every locationChecking an organization
- Confirm the business with the North Carolina secretary of state.
- Check the HHS-OIG exclusion list for the organization.
- Verify each clinician on their own record and the state license search.
Common questions
Is an organization NPI a license?
No. An NPI identifies who bills. Facilities and the clinicians who work there are licensed separately by the state.
Source: CMS National Plan and Provider Enumeration System (NPPES), monthly file of Aug 9, 2026 (NPPES files on CMS.gov). An NPI identifies who bills; it is not a license.