Active NPI
Rachelle Kelly Porath, PT
- Physical Therapist
- Clayton, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P16594
- Practice address
- 166 Springbrook Ave Ste 201
Clayton, NC 27520-8520 - Phone
- (919) 535-8461
- NPI assigned
- Oct 10, 2006
- Last updated
- Dec 20, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501010799 | MI | |
| Physical Therapist | 225100000X | P16594 | NC | Primary |
Addresses
Primary practice location
166 Springbrook Ave Ste 201
Clayton, NC 27520-8520
Mailing address
2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 650B110390 | Other | MI | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2350 Bentridge LN
Suite 100
Fayetteville, NC 28304-0590
Phone (910) 339-1731
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.67 of 100
- Quality
- 85.21
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 77.85
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Activcare Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Body Mechanix Physical Therapy of Escanaba, LLC | Physical Therapist | Past | Accepting new patients |
Locations
2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250
166 Springbrook Ave
Ste 201
Clayton, NC 27520
Phone (919) 535-8461
2350 Bentridge Ln
Ste 100
Fayetteville, NC 28304
Phone (910) 339-1731
350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919
3410 Executive Dr
Ste 205
Raleigh, NC 27609
Phone (919) 322-0042
Interoperability endpoints
- rachelle.porath.p12@direct.athleticoltd.nextgenshare.com
Organizations & group practices 2
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.
-
dba Pivot Physical Therapy of Carolina
- Clinic/Center
- Raleigh, NC
- NPI 1548409626
Physical Therapist
-
- Physical Therapist
- Escanaba, MI
- NPI 1942398821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734652800000",
"number": "1619065596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2122 YORK RD STE 300",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "166 SPRINGBROOK AVE STE 201",
"city": "CLAYTON",
"state": "NC",
"postal_code": "275208520",
"telephone_number": "919-535-8461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORATH",
"first_name": "RACHELLE",
"middle_name": "KELLY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2024-12-20",
"certification_date": "2024-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501010799",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P16594",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "650B110390",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clayton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.