Individual provider Active NPI

Carrie Dawn Autry, MASSAGE THERAPIST

  • Massage Therapist
  • Fayetteville, NC
National Provider Identifier
1508795014
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
15733 Issued in NC
Practice address
150 Francam Dr Ste 124
Fayetteville, NC 28311-4500
Phone
(910) 229-3924
Fax
(910) 339-0537
NPI assigned
May 19, 2026
Sex
Female
Sole proprietor
Yes

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.

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

State licenses

LicenseStateTypeSpecialty
15733NCMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Coastal Plain - PT, LLC PastSince Sep 24, 2023 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 15733 NC Primary

Addresses

NPPES NPI Registry

Primary practice location

150 Francam Dr Ste 124
Fayetteville, NC 28311-4500

Mailing address

427 W North St Apt Suite
Autryville, NC 28318-7371
Phone (910) 214-2352

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 19, 2026.

{
    "created_epoch": "1779148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1508795014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 W NORTH ST APT SUITE",
            "city": "AUTRYVILLE",
            "state": "NC",
            "postal_code": "283187371",
            "telephone_number": "910-214-2352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 FRANCAM DR STE 124",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283114500",
            "telephone_number": "910-229-3924",
            "fax_number": "910-339-0537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUTRY",
        "first_name": "CARRIE",
        "middle_name": "DAWN",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-19",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NC",
            "license": "15733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.

Verify at the official NPI Registry.