Individual provider Active NPI

Rachel Anderson, PT, LAT, ATC

  • Physical Therapist
  • Raleigh, NC
National Provider Identifier
1417723917
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P21696 Issued in NC
Practice address
200 Horizon Dr Ste 115
Raleigh, NC 27615-4947
Phone
(919) 875-1932
NPI assigned
Nov 27, 2023
Last updated
Jun 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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 P21696 NC 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

Medicare participation

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

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Wellness Center, LLCGroup PAC ID 7517908932, 10 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P21696NCMDSports Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Wellness Center, LLC Physical Therapist CurrentSince Jun 1, 2026 Accepting new patients

Locations

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

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1417723917",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "RACHEL",
        "credential": "PT, LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-27",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P21696",
            "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 Jun 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.