Individual provider Active NPI

Andrea Lauren Tadross, PT

  • Physical Therapist
  • Durham, NC
National Provider Identifier
1154034130
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P20432 Issued in NC
Practice address
4214 N Roxboro St Ste 100
Durham, NC 27704-1888
Phone
(919) 479-9001
Fax
(919) 479-9003
NPI assigned
Jan 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 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 P20432 NC Primary

Addresses

Primary practice location

4214 N Roxboro St Ste 100
Durham, NC 27704-1888

Mailing address

4214 N Roxboro St Ste 100
Durham, NC 27704-1888
Phone (919) 479-9001

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230310001128 NC Practitioner - Physical Therapist in Private Practice 9830562982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Maryland School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy of North Carolina LLCGroup PAC ID 4880665157, 6 clinicians

Practice addresses (Care Compare)

4214 N Roxboro St
Suite 100
Durham, NC 27704-1888
Phone (919) 479-9001

Merit-based Incentive Payment System (MIPS)

Final score
84.96 of 100Reported as group
Quality
73.92
Improvement activities
40
Cost
84.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy of North Carolina, LLC Physical Therapist CurrentSince Jan 9, 2023 Accepting new patients

Locations

4214 N Roxboro St
Ste 100
Durham, NC 27704
Phone (919) 479-9001

Organizations & group practices 1

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": "1672790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1154034130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4214 N ROXBORO ST STE 100",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277041888",
            "telephone_number": "919-479-9001",
            "fax_number": "919-479-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4214 N ROXBORO ST STE 100",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277041888",
            "telephone_number": "919-479-9001",
            "fax_number": "919-479-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TADROSS",
        "first_name": "ANDREA",
        "middle_name": "LAUREN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-04",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P20432",
            "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 Dec 19, 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.