Individual provider Active NPI

Kirsten Brooke Rayner, PT

  • Physical Therapist
  • Southern Pines, NC
National Provider Identifier
1083228746
Registry record updated Oct 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P19903 Issued in NC
Practice address
340 Commerce Ave Ste 15
Southern Pines, NC 28387-7168
Phone
(910) 637-0073
NPI assigned
Sep 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2024

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 P19903 NC Primary

Addresses

Primary practice location

340 Commerce Ave Ste 15
Southern Pines, NC 28387-7168

Mailing address

2817 Rock Merritt Ave
Fort Bragg, NC 28310-1000
Phone (109) 078-9229

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211110003259 NC Practitioner - Physical Therapist in Private Practice 8224427315 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
West Virginia University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ostert Physical TherapyGroup PAC ID 8729456512, 4 clinicians

Practice addresses (Care Compare)

340 Commerce Ave
Suite 15
Southern Pines, NC 28387-7168
Phone (910) 637-0073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P19903NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ostert Physical Therapy Physical Therapist CurrentSince May 1, 2024 Accepting new patients
Revolution Incorporated Physical Therapist CurrentSince Sep 19, 2022 Accepting new patients
Care First Physical Therapy & Rehab, LLC Physical Therapist CurrentSince Sep 7, 2021 Accepting new patients
Pediatric Developmental Therapy PastSince Sep 1, 2020 Accepting new patients
Pediatric Developmental Therapy Physical Therapist PastSince Sep 1, 2020 Accepting new patients

Locations

100 Cornerstone Dr
Cary, NC 27519
Phone (919) 460-1921

5860 Yadkin Rd
Fayetteville, NC 28303
Phone (910) 401-9210

340 Commerce Ave
Ste 15
Southern Pnes, NC 28387
Phone (910) 637-0073

Organizations & group practices 5

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": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729382400000",
    "number": "1083228746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 ROCK MERRITT AVE",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283101000",
            "telephone_number": "109-078-9229",
            "fax_number": "910-907-6069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 COMMERCE AVE STE 15",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283877168",
            "telephone_number": "910-637-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYNER",
        "first_name": "KIRSTEN",
        "middle_name": "BROOKE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-01",
        "last_updated": "2024-10-20",
        "certification_date": "2024-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P19903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southern Pines, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2024; 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.