Individual provider Active NPI

Laxmi Reddy Bollu, PT

  • Physical Therapist
  • Durham, NC
National Provider Identifier
1053590620
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P12407 Issued in NC
Practice address
7810 NC 751 Hwy
Durham, NC 27713-6924
Phone
(919) 544-7270
Fax
(919) 544-7276
NPI assigned
Oct 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P12407 NC Primary

Addresses

Primary practice location

7810 NC 751 Hwy
Durham, NC 27713-6924

Mailing address

PO Box 5105
Belfast, ME 04915-5100
Phone (919) 220-5255

Other practice location 1

1051 Pemberton Hill Rd
suite 201
Apex, NC 27502-4267
Phone (919) 388-0111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120815000840 NC Practitioner - Physical Therapist in Private Practice 2860573151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergeortho PAGroup PAC ID 0749188894, 726 clinicians

Practice addresses (Care Compare)

7810 NC Hwy 751
Durham, NC 27713-6850
Phone (919) 544-7270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Emergeortho PA CurrentSince Jul 16, 2025 Accepting new patients
Emergeortho PA Physical Therapist CurrentSince Jul 16, 2025 Accepting new patients
Kokila Patel, Inc Physical Therapist PastSince Jun 7, 2014 Accepting new patients
Samasta Services Inc Physical Therapist PastSince Oct 1, 2014 Accepting new patients
Breakthrough Physical Therapy Physical Therapist Past Accepting new patients
Breakthrough Physical Therapy Inc Physical Therapist PastSince Nov 1, 2014 Accepting new patients

Locations

120 William Penn Plz
Durham, NC 27704
Phone (919) 281-1836

7810 NC 751 Hwy
Durham, NC 27713
Phone (919) 544-7270

Interoperability endpoints

  • Direct secure messaging: laxmi.bollu.1@847.direct.athenahealth.com

Organizations & group practices 6

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": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1053590620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5105",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049155100",
            "telephone_number": "919-220-5255",
            "fax_number": "919-220-6971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7810 NC 751 HWY",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136924",
            "telephone_number": "919-544-7270",
            "fax_number": "919-544-7276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1051 Pemberton Hill Rd",
            "address_2": "suite 201",
            "address_purpose": "LOCATION",
            "city": "Apex",
            "state": "NC",
            "postal_code": "275024267",
            "country_code": "US",
            "telephone_number": "919-388-0111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLLU",
        "first_name": "LAXMI",
        "middle_name": "REDDY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-30",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P12407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.

Verify at the official NPI Registry.