Individual provider Active NPI

Lauren McDonald, PT, DPT

  • Physical Therapist
  • Raleigh, NC
National Provider Identifier
1629593926
Registry record updated Sep 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P19149 Issued in NC
Practice address
3100 Blue Ridge Rd Ste 204
Raleigh, NC 27612-8034
Phone
(919) 535-8528
NPI assigned
Aug 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 293385 CA
Physical Therapist 225100000X P19149 NC Primary

Addresses

Primary practice location

3100 Blue Ridge Rd Ste 204
Raleigh, NC 27612-8034

Mailing address

8342 Shoup Ave
West Hills, CA 91304-3351

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191030003689 NC Practitioner - Physical Therapist in Private Practice 9032482211 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Southern California Keck School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duke University Health System, IncGroup PAC ID 2567372345, 1,083 clinicians

Practice addresses (Care Compare)

2301 Erwin Rd
Durham, NC 27705-4699
Phone (919) 684-8111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P19149NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Health System, Inc. CurrentSince Jan 30, 2023 Accepting new patients
All Star Physical Therapy Physical Therapist CurrentSince Oct 1, 2022 Accepting new patients
Activcare Physical Therapy, LLC Physical Therapist CurrentSince Sep 11, 2019 Accepting new patients
Duke University Health System, Inc. Physical Therapist CurrentSince Jan 30, 2023 Accepting new patients
Duke University Health System, Inc. Past Accepting new patients

Locations

10725 Zelzah Ave
#B
Granada Hills, CA 91344
Phone (818) 400-0304

166 Springbrook Ave
Ste 201
Clayton, NC 27520
Phone (919) 535-8461

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

10211 Alm St
Ste 212
Raleigh, NC 27617
Phone (919) 206-4868

3100 Blue Ridge Rd
Ste 204
Raleigh, NC 27612
Phone (919) 535-8528

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1629593926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8342 SHOUP AVE",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913043351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 BLUE RIDGE RD STE 204",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128034",
            "telephone_number": "919-535-8528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "LAUREN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-08",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "293385",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P19149",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 12, 2019; 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.