Individual provider Active NPI

Deandra Cotten

  • Physical Therapist
  • Fayetteville, NC
National Provider Identifier
1871128322
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
3108 Raeford Rd Ste 100
Fayetteville, NC 28303-6037
Phone
(910) 484-2091
NPI assigned
Mar 5, 2020
Last updated
Mar 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2020

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 Primary

Addresses

Primary practice location

3108 Raeford Rd Ste 100
Fayetteville, NC 28303-6037

Mailing address

1200 Corporate Dr Ste 400
Birmingham, AL 35242-5424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200410000573 NC Practitioner - Physical Therapist in Private Practice 4486083508 Reassigns benefits to 4 organizations
I20210506001488 SC Practitioner - Physical Therapist in Private Practice 4486083508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3607 Falls River Ave
Suite 101
Raleigh, NC 27614-7365
Phone (919) 378-1923

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy of North Carolina LLC Physical Therapist Current Accepting new patients
Best Physical Therapy, LLC Physical Therapist CurrentSince Mar 8, 2023 Accepting new patients
Benchmark Health Services Physical Therapist CurrentSince Mar 22, 2021 Accepting new patients
Best Physical Therapy, LLC Physical Therapist CurrentSince Mar 8, 2023 Accepting new patients
Benchmark Physical Therapy of NC, LLC Physical Therapist CurrentSince Feb 24, 2020 Accepting new patients
Proactive Physical Therapy & Performance LLC Physical Therapist CurrentSince Apr 20, 2024 Accepting new patients
Drayer Physical Therapy of North Carolina LLC Physical Therapist CurrentSince Mar 15, 2020 Accepting new patients
Benchmark Physical Therapy of NC, LLC Physical Therapist CurrentSince Feb 24, 2020 Accepting new patients
Benchmark Healthcare Services, LLC Physical Therapist CurrentSince Mar 22, 2021 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

3108 Raeford Rd
Ste 100
Fayetteville, NC 28303
Phone (910) 484-2091

10020 Monroe Rd
Ste 160
Matthews, NC 28105
Phone (704) 841-0894

9529 Chapel Hill Rd
Morrisville, NC 27560
Phone (888) 265-4003

1520 Sunday Dr
Ste 105
Raleigh, NC 27607
Phone (919) 420-1682

3607 Falls River Ave
Ste 101
Raleigh, NC 27614
Phone (919) 378-1923

6150 Falls of Neuse Rd
Raleigh, NC 27609
Phone (888) 265-4003

1000 Tanner Ford Blvd
Ste 370
Hanahan, SC 29410
Phone (843) 718-1058

7955 N Kings Hwy
Ste 330
Myrtle Beach, SC 29572
Phone (843) 945-1815

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": "1583366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1871128322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352425424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3108 RAEFORD RD STE 100",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283036037",
            "telephone_number": "910-484-2091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTEN",
        "first_name": "DEANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-05",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 5, 2020; 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.