Individual provider Active NPI

Katherine Anne Wardach, DPT

  • Orthopedic Physical Therapist
  • Fayetteville, NC
National Provider Identifier
1124510144
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
P23661 Issued in NC
Practice address
1991 Fordham Dr Ste 102
Fayetteville, NC 28304-3774
Phone
(910) 710-5051
Fax
(910) 223-6233
NPI assigned
Jun 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X P23661 NC Primary
Orthopedic Physical Therapist 2251X0800X PT36961 FL
Physical Therapist 225100000X 11056 SC

Addresses

Primary practice location

1991 Fordham Dr Ste 102
Fayetteville, NC 28304-3774

Mailing address

1991 Fordham Dr Ste 102
Fayetteville, NC 28304-3774
Phone (910) 710-5051

Other names 1

  • Katherine A Courter Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260312000099 NC Practitioner - Physical Therapist in Private Practice 3476805797 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atrium Health Neurospine Network LLCGroup PAC ID 1052800588, 121 clinicians
Cape Fear Valley Health Medical Group LLCGroup PAC ID 0648707109, 352 clinicians

Practice addresses (Care Compare)

10314 Hamptons Park Dr
Huntersville, NC 28078-7217
Phone (704) 831-4100

4140 Ferncreek Dr
Suite 801
Fayetteville, NC 28314-2572
Phone (910) 484-2171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11056SCMDClinical Social Worker
PT36961FLMDOrthopedic Physical Therapist
P23661NCMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Fear Valley Health Medical Group LLC Physical Therapist CurrentSince Jan 26, 2026 Accepting new patients
Cape Fear Valley Health Medical Group LLC CurrentSince Jan 26, 2026 Accepting new patients
Lowcountry Spine & Sport, LLC Past Accepting new patients

Locations

4140 Ferncreek Dr
Ste 801
Fayetteville, NC 28314
Phone (910) 484-2171

1991 Fordham Dr
Ste 102
Fayetteville, NC 28304
Phone (910) 484-4653

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GHGGAA

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": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1124510144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1991 FORDHAM DR STE 102",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043774",
            "telephone_number": "910-710-5051",
            "fax_number": "910-223-6233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 FORDHAM DR STE 102",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043774",
            "telephone_number": "910-710-5051",
            "fax_number": "910-223-6233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARDACH",
        "first_name": "KATHERINE",
        "middle_name": "ANNE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-05",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NC",
            "license": "P23661",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT36961",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "11056",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "COURTER",
            "middle_name": "A",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; 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.