Individual provider Active NPI

Laura Goodling, PT

  • Physical Therapist
  • Raleigh, NC
National Provider Identifier
1194263699
Registry record updated May 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P16934 Issued in NC
Practice address
7880 Alexander Promenade PL Ste 100
Raleigh, NC 27617-1918
Phone
(919) 583-7223
NPI assigned
Feb 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2020

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 P16934 NC Primary

Addresses

Primary practice location

7880 Alexander Promenade PL Ste 100
Raleigh, NC 27617-1918

Mailing address

350 New Fidelity CT
Garner, NC 27529-2665
Phone (919) 258-2714

Other names 1

  • Laura Biesack Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170607001929 NC Practitioner - Physical Therapist in Private Practice 0143598557 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of North Carolina Hospitals at Chapel HillGroup PAC ID 4486561008, 110 clinicians

Practice addresses (Care Compare)

100 Sprunt St
Chapel Hill, NC 27517-7811
Phone (984) 974-2560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P16934NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Activcare Physical Therapy, LLC Physical Therapist CurrentSince Feb 13, 2017 Accepting new patients
University of North Carolina Hospitals at Chapel Hill CurrentSince Nov 29, 2021 Accepting new patients
University of North Carolina Hospitals at Chapel Hill Physical Therapist CurrentSince Nov 29, 2021 Accepting new patients
University of North Carolina Hospitals at Chapel Hill Current Accepting new patients
University of North Carolina Hospitals at Chapel Hill Past Accepting new patients

Locations

100 Sprunt St
Chapel Hill, NC 27517
Phone (919) 843-2164

1350 Raleigh Rd
Chapel Hill, NC 27517
Phone (984) 974-4110

166 Springbrook Ave
Ste 201
Clayton, NC 27520
Phone (919) 535-8461

350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919

5221 Paramount Pkwy
Ste 440
Morrisville, NC 27560
Phone (984) 974-1183

360 West St
#110
Pittsboro, NC 27312
Phone (919) 533-5390

3410 Executive Dr
Ste 205
Raleigh, NC 27609
Phone (919) 322-0042

7880 Alexander Promenade Pl
Ste 100
Raleigh, NC 27617
Phone (919) 583-7223

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": "1486080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1194263699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NEW FIDELITY CT",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292665",
            "telephone_number": "919-258-2714",
            "fax_number": "410-648-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7880 ALEXANDER PROMENADE PL STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276171918",
            "telephone_number": "919-583-7223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODLING",
        "first_name": "LAURA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-03",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P16934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "BIESACK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2020; 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.