NPIMap

Organization Active NPI

Trinity Wellness Center, LLC

  • Physical Therapist
  • Raleigh, NC
National Provider Identifier
1396762886
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
TRINITY WELLNESS CENTER, LLC
Practice address
200 Horizon Dr Ste 115
Raleigh, NC 27615-4947
Phone
(919) 875-1932
Fax
(919) 875-1933
NPI assigned
Jul 17, 2006
Last updated
Aug 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Authorized official

Name
Mr. Luke H Buffum, PTNPI 1174540264
Title
Director
Phone
(919) 875-1932

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

200 Horizon Dr Ste 115
Raleigh, NC 27615-4947

Mailing address

200 Horizon Dr Ste 115
Raleigh, NC 27615-4947
Phone (919) 875-1932

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050517000084 NC Part B Supplier - Clinic/Group Practice 7517908932 Receives reassigned benefits from 10 practitioners
Practice locations: Raleigh, NC

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1025 Bullard Ct
Ste 105
Raleigh, NC 27615
Phone (919) 875-1932

200 Horizon Dr
Ste 115
Raleigh, NC 27615
Phone (919) 875-1932

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755820800000",
    "number": "1396762886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HORIZON DR STE 115",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276154947",
            "telephone_number": "919-875-1932",
            "fax_number": "919-875-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HORIZON DR STE 115",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276154947",
            "telephone_number": "919-875-1932",
            "fax_number": "919-875-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A",
        "authorized_official_last_name": "BUFFUM",
        "authorized_official_first_name": "LUKE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-875-1932",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.