Grace Holleran La Porte, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P24406 Issued in NC

Practice address

1991 Fordham Dr Ste 102
Fayetteville, NC 28304-3774

Phone

(910) 484-4653

Fax

(910) 483-9256

NPI assigned

Aug 27, 2024

Last updated

Dec 7, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in WA, NC2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cape Fear Valley Health Medical Group LLCGroup PAC ID 0648707109, 352 clinicians

Cumberland County Hospital System IncGroup PAC ID 1850204041, 581 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cape Fear Valley Health Medical Group LLC

  dba Cape Fear Orthopedics & Sports Medicine of Cape Fear Valley Health

  • Orthopaedic Surgery Physician
  • Fayetteville, NC
  • NPI 1235957655

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Cumberland County Hospital System Inc

  dba Oncology Services

  • Hematology & Oncology Physician
  • Fayetteville, NC
  • NPI 1881946242
  Medicare reassignment Care Compare group NPD
• Kitsap Physical Therapy and Sports Clinic PS Inc

  • Physical Therapist
  • Silverdale, WA
  • NPI 1912902347
  Medicare reassignment NPD
• Cape Fear Valley Health Medical Group LLC

  dba Cape Fear Valley Fayetteville Orthopedics and Sports Medicine

  • Orthopaedic Surgery Physician
  • Fayetteville, NC
  • NPI 1366327223

  Physical Therapist

  NPD
• Cape Fear Valley Health Medical Group LLC

  dba Cape Fear Valley Orthopedic Spine Specialists

  • Orthopaedic Surgery of the Spine Physician
  • Fayetteville, NC
  • NPI 1568315554
  NPD
• Cumberland County Hospital System Inc

  dba CFV Fayetteville Orthopedics & Sports Medicine

  • Orthopaedic Surgery Physician
  • Fayetteville, NC
  • NPI 1437854403

  Physical Therapist

  NPD
• Cumberland County Hospital System Inc

  dba Cape Fear Valley Professional Radiology Group

  • Diagnostic Radiology Physician
  • Fayetteville, NC
  • NPI 1962299743
  NPD
• Kitsap Physical Therapy and Sports Clinic PS Inc

  • Durable Medical Equipment & Medical Supplies
  • Kingston, WA
  • NPI 1700466083

  Physical Therapist

  NPD
• Independence Physical Therapy, LLC

  • Physical Therapist
  • Mystic, CT
  • NPI 1578596888
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765065600000",
    "number": "1154155653",
    "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": "910-484-4653",
            "fax_number": "910-483-9256"
        },
        {
            "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": "910-484-4653",
            "fax_number": "910-483-9256"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3455 Rewak Dr Ste 106",
            "address_purpose": "LOCATION",
            "city": "Fairbanks",
            "state": "AK",
            "postal_code": "997095024",
            "country_code": "US",
            "telephone_number": "907-457-5322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LA PORTE",
        "first_name": "GRACE",
        "middle_name": "HOLLERAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-27",
        "last_updated": "2025-12-07",
        "certification_date": "2025-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61628723",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "246331",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "052932",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P24406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Agyen Kyere, PHARMD
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• Nathan James Laborde, M.D.
• Gabriel M Lacewell

• Physical Therapist in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.