Active NPI
Kimberly Potter
- Physical Therapist
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P9350
- Practice address
- 9104 Dawnshire Rd
Raleigh, NC 27615-4089 - Phone
- (919) 232-5020
- NPI assigned
- Nov 1, 2006
- Last updated
- May 2, 2025
- 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 | P9350 | NC | Primary |
Addresses
Primary practice location
9104 Dawnshire Rd
Raleigh, NC 27615-4089
Mailing address
9104 Dawnshire Rd
Raleigh, NC 27615-4089
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9350 | Other | NC | LICENSE# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wakemed Specialists Group LLC | Current | Accepting new patients | |
| Wakemed Specialists Group LLC | Current | Accepting new patients | |
| Wakemed Specialists Group, LLC | Current | Accepting new patients | |
| Mobile Rehab L.L.C. | Physical Therapist | Current | Accepting new patients |
Locations
10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300
3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000
3009 New Bern Ave
Raleigh, NC 27610
Phone (919) 232-5021
8001 T W Alexander Dr
Raleigh, NC 27617
Phone (919) 350-0953
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1588227839
-
dba WakeMed - Virtual Cardiac Rehab
- Cardiac Rehabilitation Registered Nurse
- Raleigh, NC
- NPI 1063304228
-
dba WakeMed Hospitalist Group Home
- Intellectual Disabilities Intermediate Care Facility
- Raleigh, NC
- NPI 1255995643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746144000000",
"number": "1609954676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9104 DAWNSHIRE RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276154089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9104 DAWNSHIRE RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276154089",
"telephone_number": "919-232-5020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTTER",
"first_name": "KIMBERLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2025-05-02",
"certification_date": "2025-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P9350",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE#",
"identifier": "9350",
"state": "NC"
}
],
"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 May 2, 2025; 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.