Active NPI
Michelle Christine Fadool, DPT
- Physical Therapist
- Raleigh, NC
National Provider Identifier
1891253977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P18662
- Practice address
- 200 Horizon Dr Ste 115
Raleigh, NC 27615-4947 - Phone
- (919) 875-1932
- Fax
- (919) 875-1933
- NPI assigned
- Mar 7, 2019
- 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 | P18662 | NC | Primary |
| Physical Medicine & Rehabilitation Physician | 208100000X | P18662 | NC |
Addresses
Primary practice location
200 Horizon Dr Ste 115
Raleigh, NC 27615-4947
Mailing address
1019 Broad St
Durham, NC 27705-4143
Phone (919) 797-9588
Other practice location 1
1019 Broad St
Durham, NC 27705-4143
Phone (919) 797-9588
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P18662 | Other | NC | LICENSE NUMBER |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787788800000",
"number": "1891253977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1019 BROAD ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277054143",
"telephone_number": "919-797-9588",
"fax_number": "984-307-8984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HORIZON DR STE 115",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276154947",
"telephone_number": "919-875-1932",
"fax_number": "919-875-1933"
}
],
"practiceLocations": [
{
"address_1": "1019 Broad St",
"address_purpose": "LOCATION",
"city": "Durham",
"state": "NC",
"postal_code": "277054143",
"country_code": "US",
"telephone_number": "919-797-9588",
"fax_number": "984-307-8984",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FADOOL",
"first_name": "MICHELLE",
"middle_name": "CHRISTINE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-07",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P18662",
"primary": true
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NC",
"license": "P18662",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "P18662",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.