Individual provider Active NPI

Kayla Dominque Soriano

  • Physical Therapist
  • Cornelius, NC
National Provider Identifier
1891308581
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P18611 Issued in NC
Practice address
19530 Mt Zion Pkwy
Cornelius, NC 28031-8398
Phone
(704) 997-2970
NPI assigned
Aug 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 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 P18611 NC Primary

Addresses

Primary practice location

19530 Mt Zion Pkwy
Cornelius, NC 28031-8398

Mailing address

2935 Blossom Rd
Hope Mills, NC 28348-7503
Phone (336) 451-2090

Other names 1

  • Dr. Kayla Peay Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.saberhealth.com/locations/autumn-care-of-cornelius/?utm_source=google&utm_medium=organic Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250226000347 NC Practitioner - Physical Therapist in Private Practice 6204356843 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aegis Group Practice LLCGroup PAC ID 5193036432, 399 clinicians

Practice addresses (Care Compare)

325 N Cool Spring St
Fayetteville, NC 28301-5137
Phone (910) 882-3649

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P18611NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aegis Group Practice LLC Physical Therapist Current Accepting new patients
Powerback Rehabilitation LLC Physical Therapist CurrentSince Dec 22, 2025 Accepting new patients
Aegis Group Practice LLC Physical Therapist CurrentSince Nov 6, 2024 Accepting new patients
Powerback Rehabilitation LLC Physical Therapist CurrentSince Dec 22, 2025 Accepting new patients
Aegis Group Practice LLC Physical Therapist CurrentSince Nov 6, 2024 Accepting new patients

Locations

4933 Old Greenwood Rd
Fort Smith, AR 72903

325 N Cool Spring St
Fayetteville, NC 28301
Phone (910) 323-4925

3113 Charles B Root Wynd
Raleigh, NC 27612

Organizations & group practices 5

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": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1891308581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2935 BLOSSOM RD",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283487503",
            "telephone_number": "336-451-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19530 MT ZION PKWY",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280318398",
            "telephone_number": "704-997-2970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORIANO",
        "first_name": "KAYLA",
        "middle_name": "DOMINQUE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-24",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P18611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.saberhealth.com/locations/autumn-care-of-cornelius/?utm_source=google&utm_medium=organic",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "19530 Mt Zion Pkwy",
            "city": "Cornelius",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280318398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "PEAY",
            "prefix": "DR.",
            "credential": "DPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cornelius, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.