Individual provider Active NPI

Kaitlin Marie Woods, DPT

  • Physical Therapist
  • Fayetteville, NC
National Provider Identifier
1821764416
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P20748 Issued in NC
Practice address
4140 Ferncreek Dr Ste 801
Fayetteville, NC 28314-2572
Phone
(910) 710-5051
Fax
(910) 223-6233
NPI assigned
Aug 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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 P20748 NC Primary

Addresses

Primary practice location

4140 Ferncreek Dr Ste 801
Fayetteville, NC 28314-2572

Mailing address

4140 Ferncreek Dr Ste 801
Fayetteville, NC 28314-2572
Phone (910) 710-5051

Other practice location 1

1991 Fordham Dr Ste 102
Fayetteville, NC 28304-3774
Phone (910) 484-4653

Other names 1

  • Kaitlin Bogue, McCarthy, Sullivan Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210920002412 NC Practitioner - Physical Therapist in Private Practice 1153728050 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1991 Fordham Dr
Suite 102
Fayetteville, NC 28304-3774
Phone (910) 484-4653

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Fear Valley Health Medical Group LLC Physical Therapist Current Accepting new patients
Cape Fear Valley Health Medical Group LLC CurrentSince Oct 15, 2025 Accepting new patients
Cumberland County Hospital System Inc Physical Therapist CurrentSince Mar 20, 2024 Accepting new patients
Cumberland County Hospital System Inc Current Accepting new patients
Cape Fear Valley Health Medical Group LLC Physical Therapist CurrentSince Oct 15, 2025 Accepting new patients
Cumberland County Hospital System Inc CurrentSince Mar 20, 2024 Accepting new patients
Breakthrough Physical Therapy Inc Physical Therapist CurrentSince Aug 23, 2021 Accepting new patients
Breakthrough Physical Therapy Physical Therapist Past Accepting new patients
Cape Fear Orthopaedic Clinic, PA Physical Therapist PastSince Aug 1, 2021 Accepting new patients

Locations

3814 Rural Retreat Rd
Ste 103
Burlington, NC 27215
Phone (743) 241-3020

981 High House Rd
#100
Cary, NC 27513
Phone (919) 388-0111

6000 Ramsey St
Ste 108
Fayetteville, NC 28311
Phone (910) 484-3332

3401 Village Dr
Ste 101
Fayetteville, NC 28304
Phone (910) 483-9300

4140 Ferncreek Dr
Ste 801
Fayetteville, NC 28314
Phone (910) 484-2171

1991 Fordham Dr
Ste 102
Fayetteville, NC 28304
Phone (910) 484-4653

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

4140 Ramsey St
Ste 110
Fayetteville, NC 28311
Phone (910) 483-9300

303 N 35th St
Morehead City, NC 28557
Phone (252) 247-2738

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1821764416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 FERNCREEK DR STE 801",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283142572",
            "telephone_number": "910-710-5051",
            "fax_number": "910-223-6233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 FERNCREEK DR STE 801",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283142572",
            "telephone_number": "910-710-5051",
            "fax_number": "910-223-6233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1991 Fordham Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283043774",
            "country_code": "US",
            "telephone_number": "910-484-4653",
            "fax_number": "910-483-9256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODS",
        "first_name": "KAITLIN",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-23",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P20748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLIN",
            "last_name": "BOGUE, MCCARTHY, SULLIVAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 28, 2026; 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.