Individual provider Active NPI

Lora Davenport Guerra, MPT

  • Physical Therapist
  • Durham, NC
National Provider Identifier
1235442005
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9085 Issued in NC
Practice address
5720 Fayetteville Rd Ste 101
Durham, NC 27713-5333
Phone
(919) 361-0104
NPI assigned
Jul 21, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2022

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 9085 NC Primary

Addresses

Primary practice location

5720 Fayetteville Rd Ste 101
Durham, NC 27713-5333

Mailing address

112 Hamilton Hedge PL
Cary, NC 27519-9144
Phone (919) 818-9653

Other practice location 1

1829 E Franklin St
Building 600
Chapel Hill, NC 27514-5861
Phone (919) 968-3456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Live Well Physical Therapy and Pilates, LLC Physical Therapist CurrentSince Jun 21, 2020 Accepting new patients
Total Rehabilitation Inc Physical Therapist Past Accepting new patients
Insideout Body Therapies, LLC PastSince May 22, 2022 Accepting new patients

Organizations & group practices 3

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": "1279670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1235442005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 HAMILTON HEDGE PL",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275199144",
            "telephone_number": "919-818-9653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5720 FAYETTEVILLE RD STE 101",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277135333",
            "telephone_number": "919-361-0104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1829 E Franklin St",
            "address_2": "Building 600",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275145861",
            "country_code": "US",
            "telephone_number": "919-968-3456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUERRA",
        "first_name": "LORA",
        "middle_name": "DAVENPORT",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-21",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "9085",
            "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 May 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.