Individual provider Active NPI

Kevin Laurence Outwater

  • Physical Therapist
  • Cary, NC
National Provider Identifier
1467184499
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P21819 Issued in NC
Practice address
107 Edinburgh South Dr Ste 100a
Cary, NC 27511-6455
Phone
(919) 678-3286
Fax
(919) 999-2488
NPI assigned
Jun 28, 2022
Last updated
Mar 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 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 P21819 NC Primary

Addresses

Primary practice location

107 Edinburgh South Dr Ste 100a
Cary, NC 27511-6455

Mailing address

107 Edinburgh South Dr Ste 100a
Cary, NC 27511-6455
Phone (919) 678-3286

Other practice location 1

8100 Old Mallard Creek Rd
Charlotte, NC 28262-2238
Phone (980) 299-2048

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230123002965 NC Practitioner - Physical Therapist in Private Practice 6507237930 Reassigns benefits to 2 organizations

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
Response Physical TherapyGroup PAC ID 8224328158, 6 clinicians

Practice addresses (Care Compare)

107 Edinburgh S Dr
Suite 100a
Cary, NC 27511-6455
Phone (919) 678-3286

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Architech Sports and Physical Therapy, LLC Physical Therapist CurrentSince Nov 23, 2022 Accepting new patients
Response Physical Therapy Physical Therapist CurrentSince Mar 30, 2026 Accepting new patients
Architech Sports and Physical Therapy, LLC Orthopedic CurrentSince Nov 23, 2022 Accepting new patients

Locations

107 Edinburgh South Dr
Ste 100A
Cary, NC 27511
Phone (919) 678-3286

1429 Bryant St
Ste A
Charlotte, NC 28208
Phone (704) 919-0867

8100 Old Mallard Creek Rd
Charlotte, NC 28262
Phone (980) 299-2048

8918 Blakeney Professional Dr
Ste 120
Charlotte, NC 28277
Phone (704) 609-0357

3825 Barrett Dr
Ste 101
Raleigh, NC 27609
Phone (919) 758-8022

Organizations & group practices 3

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": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1467184499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 EDINBURGH SOUTH DR STE 100A",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275116455",
            "telephone_number": "919-678-3286",
            "fax_number": "919-999-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 EDINBURGH SOUTH DR STE 100A",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275116455",
            "telephone_number": "919-678-3286",
            "fax_number": "919-999-2488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8100 Old Mallard Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282622238",
            "country_code": "US",
            "telephone_number": "980-299-2048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OUTWATER",
        "first_name": "KEVIN",
        "middle_name": "LAURENCE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-28",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P21819",
            "primary": true
        }
    ],
    "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 Mar 11, 2026; 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.