Active NPI
Katherine Rose Podoll, DPT
- Physical Therapist
- Southern Pines, NC
National Provider Identifier
1447166780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P25233
- Practice address
- 205 Pavilion Way
Southern Pines, NC 28387-4563 - Phone
- (910) 235-2713
- NPI assigned
- Aug 19, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | P25233 | NC | |
| Orthopedic Physical Therapist | 2251X0800X | P25233 | NC | |
| Physical Therapist | 225100000X | P25233 | NC | Primary |
Addresses
Primary practice location
205 Pavilion Way
Southern Pines, NC 28387-4563
Mailing address
205 Pavilion Way
Southern Pines, NC 28387-4563
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinehurst Surgical Clinic PA | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Surgery Physician
- Pinehurst, NC
- NPI 1962434324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787097600000",
"number": "1447166780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 PAVILION WAY",
"city": "SOUTHERN PINES",
"state": "NC",
"postal_code": "283874563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 PAVILION WAY",
"city": "SOUTHERN PINES",
"state": "NC",
"postal_code": "283874563",
"telephone_number": "910-235-2713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PODOLL",
"first_name": "KATHERINE",
"middle_name": "ROSE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-19",
"last_updated": "2026-08-19",
"certification_date": "2026-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "NC",
"license": "P25233",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NC",
"license": "P25233",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P25233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southern Pines, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.