Individual provider Active NPI

Nicole Marie Caviness, PT

  • Physical Therapist
  • Harrisburg, NC
National Provider Identifier
1811952344
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P8413 Issued in NC
Practice address
3826 Hwy 49 South
Harrisburg, NC 28075-7439
Phone
(704) 787-1807
Fax
(704) 626-3066
NPI assigned
Apr 18, 2006
Last updated
Jun 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P8413 NC Primary

Addresses

Primary practice location

3826 Hwy 49 South
Harrisburg, NC 28075-7439

Mailing address

11417 Three Sisters LN
Mint Hill, NC 28227-3639
Phone (704) 787-1807

Other identifiers 4

IdentifierTypeStateIssuer
17308OtherNCPARTNES MEDICARE
7556543OtherAETNA PPO
3443137OtherAETNA HMO
0173UOtherNCBC

Other names 1

  • Mrs. Nicole Marie Lynch-Bush Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130524000111 NC Practitioner - Physical Therapist in Private Practice 9830337245 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reinvent Health Inc.Group PAC ID 2264964477, 38 clinicians
Integrated Therapy LLCGroup PAC ID 1153317300, 48 clinicians

Practice addresses (Care Compare)

Charlotte, NC 28211
Phone (877) 472-2261

8100 Old Mallard Creek Rd
Charlotte, NC 28262-2238
Phone (404) 351-5307

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8413NCMDDental Hygienist
P8413NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North Carolina Luna Care Physical Therapy LLC Physical Therapist CurrentSince Oct 15, 2022 Accepting new patients
Reinvent Health Inc Physical Therapist CurrentSince Jan 26, 2025 Accepting new patients
Integrated Therapy LLC Physical Therapist CurrentSince Sep 15, 2025 Accepting new patients
Collective Therapy Corp. Physical Therapist CurrentSince Jul 7, 2025 Accepting new patients
Duke University Health System, Inc. CurrentSince Feb 19, 2025 Accepting new patients
Duke University Health System, Inc. Physical Therapist CurrentSince Feb 19, 2025 Accepting new patients
Prava PC Physical Therapist CurrentSince Jan 6, 2025 Accepting new patients
Life Clinic of NC PC Physical Therapist PastSince Nov 4, 2024 Accepting new patients

Locations

2221 Peachtree Rd NE
Ste D336
Atlanta, GA 30309
Phone (770) 443-4483

1700 Regency Pkwy
Cary, NC 27518
Phone (404) 351-5309

8100 Old Mallard Creek Rd
Charlotte, NC 28262
Phone (980) 299-2048

8919 Park Rd
Charlotte, NC 28210
Phone (704) 384-1225

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

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1811952344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11417 THREE SISTERS LN",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282273639",
            "telephone_number": "704-787-1807",
            "fax_number": "866-570-1759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3826 HWY 49 SOUTH",
            "city": "HARRISBURG",
            "state": "NC",
            "postal_code": "280757439",
            "telephone_number": "704-787-1807",
            "fax_number": "704-626-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVINESS",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-18",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P8413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNES MEDICARE",
            "identifier": "17308",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7556543",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "3443137",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "0173U",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "LYNCH-BUSH",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Harrisburg, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; 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.