Individual provider Active NPI

Kaylah Patrice Mack, PT, DPT

  • Physical Therapist
  • Cary, NC
National Provider Identifier
1376220020
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P24437 Issued in NC
Practice address
280 Towerview CT
Cary, NC 27513-3591
Phone
(919) 213-0504
NPI assigned
Jul 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P24437 NC Primary
Physical Therapist 225100000X 30184 MD

Addresses

Primary practice location

280 Towerview CT
Cary, NC 27513-3591

Mailing address

7300 Boulder Lake Dr Apt 1201
North Chesterfield, VA 23225-5570
Phone (703) 232-6138

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241213001550 DC Practitioner - Physical Therapist in Private Practice 6800322868 Reassigns benefits to 1 organization
I20251106002510 NC Practitioner - Physical Therapist in Private Practice 6800322868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Virginia Commonwealth University, School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forever Fit Physical Therapy and Wellness LLCGroup PAC ID 1153513122, 40 clinicians
Best Physical Therapy LLCGroup PAC ID 8729401625, 75 clinicians

Practice addresses (Care Compare)

10301 Georgia Ave
Suite 200
Silver Spring, MD 20902-5020
Phone (301) 681-7880

280 Towerview CT
Cary, NC 27513-3591
Phone (919) 791-6260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P24437NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Forever Fit Physical Therapy & Wellness LLC Physical Therapist CurrentSince Oct 14, 2024 Accepting new patients
Best Physical Therapy, LLC CurrentSince Oct 6, 2025 Accepting new patients
Best Physical Therapy, LLC Physical Therapist CurrentSince Oct 6, 2025 Accepting new patients
Forever Fit Physical Therapy & Wellness, LLC Current Accepting new patients
Forever Fit Physical Therapy & Wellness Physical Therapist CurrentSince Oct 14, 2024 Accepting new patients
Rehab JV LLC PastSince Jul 1, 2023 Accepting new patients
Sheltering Arms Institute PastSince Feb 9, 2025 Accepting new patients

Locations

10301 Georgia Ave
Ste 200
Silver Spring, MD 20902
Phone (301) 593-7300

280 Towerview Ct
Cary, NC 27513
Phone (919) 380-7171

9529 Chapel Hill Rd
Morrisville, NC 27560
Phone (888) 265-4003

Organizations & group practices 7

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": "1688342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1376220020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 BOULDER LAKE DR APT 1201",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232255570",
            "telephone_number": "703-232-6138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 TOWERVIEW CT",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275133591",
            "telephone_number": "919-213-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACK",
        "first_name": "KAYLAH",
        "middle_name": "PATRICE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-03",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P24437",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "30184",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.