Active NPI
Lora R Faircloth
- Physical Therapist
- Fayetteville, NC
National Provider Identifier
1700888302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6157
- Practice address
- 2930 Village Dr
Fayetteville, NC 28304-3815 - Phone
- (910) 323-9010
- Fax
- (910) 323-9568
- NPI assigned
- Aug 12, 2005
- 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 | 6157 | NC | Primary |
Addresses
Primary practice location
2930 Village Dr
Fayetteville, NC 28304-3815
Mailing address
2930 Village Dr
Fayetteville, NC 28304-3815
Phone (910) 323-9010
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B9972 | Other | NY | MEDCOST |
| 078PK | Other | NC | BCBS NC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6157 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highland Health of North Carolina PA | Past | Accepting new patients | |
| Physicians Total Rehab Inc. | Physical Therapist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Fayetteville, NC
- NPI 1548262165
-
- Physical Medicine & Rehabilitation Physician
- Fayetteville, NC
- NPI 1619979226
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1700888302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2930 VILLAGE DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043815",
"telephone_number": "910-323-9010",
"fax_number": "910-323-9568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2930 VILLAGE DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043815",
"telephone_number": "910-323-9010",
"fax_number": "910-323-9568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAIRCLOTH",
"first_name": "LORA",
"middle_name": "R",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-12",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "6157",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "B9972",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NC",
"identifier": "078PK",
"state": "NC"
}
],
"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 Jul 13, 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.