Dr Moyo Bunmi Tillery, PT, DPT, FAAOMPT - Medicare Physical Therapist in Fayetteville, NC

Dr Moyo Bunmi Tillery, PT, DPT, FAAOMPT is a medicare enrolled "Physical Therapist" provider in Fayetteville, North Carolina. Her current practice location is 1702 Owen Dr, Fayetteville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 323-3184.

Dr Moyo Bunmi Tillery is licensed to practice in North Carolina (license number 13533) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1720359516.

Contact Information

Dr Moyo Bunmi Tillery, PT, DPT, FAAOMPT
1702 Owen Dr,
Fayetteville, NC 28304-3419
(910) 323-3184
(910) 323-9577

Map and Direction




Healthcare Provider's Profile

Full NameDr Moyo Bunmi Tillery
GenderFemale
SpecialityPhysical Therapist
Location1702 Owen Dr, Fayetteville, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1720359516
  • Provider Enumeration Date: 01/25/2012
  • Last Update Date: 06/11/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 7315199676
  • Enrollment ID: I20180716001232

Medical Identifiers

Medical identifiers for Dr Moyo Bunmi Tillery such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720359516NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 13533 (North Carolina)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Moyo Bunmi Tillery allows following entities to bill medicare on her behalf.
Provider NameBreakthrough Physical Therapy Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1558598532
PECOS PAC ID: 9234274754
Enrollment ID: O20100308000584
Provider NameAgilitas Usa Inc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1962417444
PECOS PAC ID: 3375454648
Enrollment ID: O20130807000042
Provider NamePhysical Therapy And Hand Specialists, Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1518382357
PECOS PAC ID: 3173756632
Enrollment ID: O20140507001830
Provider NameDrayer Physical Therapy Of North Carolina Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1740605096
PECOS PAC ID: 2668695032
Enrollment ID: O20140603002655
Provider NameBenchmark Physical Therapy Of North Carolina Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1356894604
PECOS PAC ID: 1052609278
Enrollment ID: O20161004000926

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. Dr Moyo Bunmi Tillery 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 AddressPractice Location Address
Dr Moyo Bunmi Tillery, PT, DPT, FAAOMPT
1702 Owen Dr,
Fayetteville, NC 28304-3419

Ph: (910) 323-3184
Dr Moyo Bunmi Tillery, PT, DPT, FAAOMPT
1702 Owen Dr,
Fayetteville, NC 28304-3419

Ph: (910) 323-3184

Reviews and Comments


Physical Therapist in Fayetteville, NC

Miss Roxanne King,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1700 Pamalee Drive, Fayetteville, NC 28303
Phone: 910-488-2295    
Kristi Wilkins,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1289 Oliver St, Fayetteville, NC 28304
Phone: 910-483-8331    Fax: 910-483-8335
Dale Anthony Gallo Jr., DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 4140 Ferncreek Dr Ste 802, Fayetteville, NC 28314
Phone: 910-484-2171    Fax: 910-484-4568
Michael Andrew Slack, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 1712 Owen Dr, Fayetteville, NC 28304
Phone: 910-483-9300    Fax: 910-483-9302
Bridget Maley,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 7532 Wilkins Dr, Fayetteville, NC 28311
Phone: 910-868-6000    
Matthew Gregory Prindle, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 3401 Village Dr Ste 101, Fayetteville, NC 28304
Phone: 910-483-9300    Fax: 910-483-9302
Casandra Heather Canterbury, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 501 Executive Pl, Fayetteville, NC 28305
Phone: 910-423-5550    Fax: 910-423-5552

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.