Active NPI
Kirsten Brooke Rayner, PT
- Physical Therapist
- Southern Pines, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P19903
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| P19903 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ostert Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Revolution Incorporated | Physical Therapist | Current | Accepting new patients |
| Care First Physical Therapy & Rehab, LLC | Physical Therapist | Current | Accepting new patients |
| Pediatric Developmental Therapy | Past | Accepting new patients | |
| Pediatric Developmental Therapy | Physical Therapist | Past | 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.
-
- Physical Therapy Clinic/Center
- Southern Pines, NC
- NPI 1679290613
Physical Therapist
-
- Occupational Therapist
- Cary, NC
- NPI 1932366044
Physical Therapist
-
- Physical Therapist
- Fayetteville, NC
- NPI 1164921862
-
- Rehabilitation Practitioner
- Fayetteville, NC
- NPI 1710183991
-
- Speech-Language Pathologist
- Fayetteville, NC
- NPI 1730137779
Physical Therapist
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.