Active NPI
Laura Ann Warren, DPT
- Physical Therapist
- Cary, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P15396
- Practice address
- 115 Kildaire Park Dr Ste 314
Cary, NC 27518-8144 - Phone
- (919) 781-4060
- Fax
- (919) 781-5246
- NPI assigned
- May 4, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00010496 | WA | |
| Physical Therapist | 225100000X | PT3775 | ME | |
| Physical Therapist | 225100000X | P15396 | NC | Primary |
Addresses
Primary practice location
115 Kildaire Park Dr Ste 314
Cary, NC 27518-8144
Mailing address
3001 Edwards Mill Rd Ste 200
Raleigh, NC 27612-5243
Phone (919) 781-5600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8482622 | Medicaid | WA |
Other names 1
- Laura Ann Southard
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150625001162 | NC | Practitioner - Physical Therapist in Private Practice | 0244330884 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Pittsburgh School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Raleigh Orthopaedic Clinic PA
Practice addresses (Care Compare)
115 Kildaire Park Dr
Suite 102
Cary, NC 27518-8144
Phone (919) 781-5600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P15396 | NC | MD | Physical Therapist |
| PT00010496 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Raleigh Orthopaedic Pharmacy | Orthopedic | Current | Accepting new patients |
| Raleigh Orthopaedic Clinic PA | Current | Accepting new patients |
Locations
115 Kildaire Park Dr
Ste 102
Cary, NC 27518
Phone (919) 863-6856
222 Ashville Ave
Ste 20
Cary, NC 27518
Phone (919) 235-0616
115 Kildaire Park Dr
Ste 314
Cary, NC 27518
Phone (919) 863-5924
1325 Timber Dr E
Garner, NC 27529
Phone (919) 863-6856
3001 Edwards Mill Rd
#200
Raleigh, NC 27612
Phone (919) 863-6853
3515 Glenwood Ave
Raleigh, NC 27612
Phone 91978156006856
3001 Edwards Mill Rd
Ste 200
Raleigh, NC 27612
Phone (919) 863-6852
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762300800000",
"number": "1003028069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 EDWARDS MILL RD STE 200",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276125243",
"telephone_number": "919-781-5600",
"fax_number": "919-863-6821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 KILDAIRE PARK DR STE 314",
"city": "CARY",
"state": "NC",
"postal_code": "275188144",
"telephone_number": "919-781-4060",
"fax_number": "919-781-5246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARREN",
"first_name": "LAURA",
"middle_name": "ANN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-04",
"last_updated": "2025-11-05",
"certification_date": "2025-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00010496",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "PT3775",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P15396",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8482622",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA",
"last_name": "SOUTHARD",
"middle_name": "ANN",
"credential": "DPT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.