Active NPI
Kristen Lattimore
- Physical Therapist
- Wake Forest, NC
National Provider Identifier
1447683149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 14409
- Practice address
- 945 Jones Wynd
Wake Forest, NC 27587-7380 - Phone
- (202) 681-1474
- Fax
- (888) 645-6068
- NPI assigned
- Aug 16, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 14409 | NC | Primary |
Addresses
Primary practice location
945 Jones Wynd
Wake Forest, NC 27587-7380
Mailing address
1327 SE Tacoma St Unit 122
Portland, OR 97202-6639
Phone (202) 681-1474
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, DC, VA
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14409 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Duke University Health System, Inc. | Physical Therapist | Current | Accepting new patients |
| North Carolina Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Duke University Health System, Inc. | Current | Accepting new patients |
Locations
2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289
40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588
8280 Willow Oaks Corporate Dr
Ste 600
Fairfax, VA 22031
Phone (202) 794-7159
Organizations & group practices 4
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.
-
- Certified Registered Nurse Anesthetist
- Durham, NC
- NPI 1558392977
Physical Therapist
-
- Physical Therapist
- Hendersonville, NC
- NPI 1124626148
-
- Parenteral & Enteral Nutrition Supplies (DME)
- Durham, NC
- NPI 1427187525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778025600000",
"number": "1447683149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1327 SE TACOMA ST UNIT 122",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972026639",
"telephone_number": "202-681-1474",
"fax_number": "888-645-6068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "945 JONES WYND",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275877380",
"telephone_number": "202-681-1474",
"fax_number": "888-645-6068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATTIMORE",
"first_name": "KRISTEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-16",
"last_updated": "2026-05-06",
"certification_date": "2026-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "14409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wake Forest, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.