Active NPI
Mary Ashlyn Warren
- Pediatric Physical Therapist
- Laurinburg, NC
National Provider Identifier
1811761000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 12286
- Practice address
- 416 S King St
Laurinburg, NC 28352-3704 - Phone
- (910) 276-3313
- NPI assigned
- Nov 8, 2023
- Last updated
- Sep 11, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P22743 | NC | |
| Pediatric Physical Therapist | 2251P0200X | 12286 | SC | Primary |
Addresses
Primary practice location
416 S King St
Laurinburg, NC 28352-3704
Mailing address
228 Killington PL
Dunn, NC 28334-7609
Other practice location 1
111 S Railroad Ave
Dunn, NC 28334-4853
Phone (910) 892-0027
Other practice location 2
1119 Middleton Ct
Mount Pleasant, SC 29464-9006
Phone (910) 218-2739
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 |
|---|---|---|---|
| 12286 | SC | MD | Social Worker |
| P22743 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Therapy Services Inc | Physical Therapist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- Dunn, NC
- NPI 1457332264
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1811761000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "228 KILLINGTON PL",
"city": "DUNN",
"state": "NC",
"postal_code": "283347609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 S KING ST",
"city": "LAURINBURG",
"state": "NC",
"postal_code": "283523704",
"telephone_number": "910-276-3313"
}
],
"practiceLocations": [
{
"address_1": "111 S Railroad Ave",
"address_purpose": "LOCATION",
"city": "Dunn",
"state": "NC",
"postal_code": "283344853",
"country_code": "US",
"telephone_number": "910-892-0027",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1119 Middleton Ct",
"address_purpose": "LOCATION",
"city": "Mount Pleasant",
"state": "SC",
"postal_code": "294649006",
"country_code": "US",
"telephone_number": "910-218-2739",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WARREN",
"first_name": "MARY",
"middle_name": "ASHLYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-08",
"last_updated": "2025-09-11",
"certification_date": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P22743",
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "SC",
"license": "12286",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laurinburg, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.