Individual provider Active NPI

Katrina Carter, PT, DPT

  • Physical Therapist
  • Raleigh, NC
National Provider Identifier
1912242280
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P22613 Issued in NC
Practice address
8410 Louisburg Rd Ste 130
Raleigh, NC 27616-5906
Phone
(919) 514-3177
NPI assigned
Nov 28, 2012
Last updated
Jan 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01471800 NJ
Physical Therapist 225100000X 11161 CT
Physical Therapist 225100000X P22613 NC Primary

Addresses

Primary practice location

8410 Louisburg Rd Ste 130
Raleigh, NC 27616-5906

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (570) 550-0168

Other practice location 1

704 N Judd Pkwy NE Ste 100
Fuquay Varina, NC 27526-1989
Phone (919) 896-7158

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240122001656 NC Practitioner - Physical Therapist in Private Practice 6608153234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Activcare Physical Therapy, LLCGroup PAC ID 8628027471, 126 clinicians

Practice addresses (Care Compare)

8410 Louisburg Rd
Suite 130
Raleigh, NC 27616-5906
Phone (919) 541-3177

Merit-based Incentive Payment System (MIPS)

Final score
88.67 of 100Reported as group
Quality
85.21
Promoting interoperability
99
Improvement activities
40
Cost
77.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11161CTMDClinical Social Worker
P22613NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carlson Therapy Network, PC Physical Therapist CurrentSince Dec 1, 2022 Accepting new patients
Activcare Physical Therapy, LLC Physical Therapist CurrentSince Nov 27, 2023 Accepting new patients

Locations

6 Shaws Cv
Ste 101
New London, CT 06320
Phone (860) 444-9022

116 Danbury Rd
New Milford, CT 06776
Phone (203) 794-6331

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

166 Springbrook Ave
Ste 201
Clayton, NC 27520
Phone (919) 535-8461

704 N Judd Pkwy NE
Ste 100
Fuquay Varina, NC 27526
Phone (919) 896-7158

350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919

3410 Executive Dr
Ste 205
Raleigh, NC 27609
Phone (919) 322-0042

8410 Louisburg Rd
Ste 130
Raleigh, NC 27616
Phone (919) 514-3177

Interoperability endpoints

  • Direct secure messaging: katrina.carter.p12@direct.athleticoltd.nextgenshare.com

Organizations & group practices 2

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": "1354060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1912242280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "570-550-0168",
            "fax_number": "410-648-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8410 LOUISBURG RD STE 130",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276165906",
            "telephone_number": "919-514-3177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "704 N Judd Pkwy NE Ste 100",
            "address_purpose": "LOCATION",
            "city": "Fuquay Varina",
            "state": "NC",
            "postal_code": "275261989",
            "country_code": "US",
            "telephone_number": "919-896-7158",
            "fax_number": "919-896-7208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "KATRINA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-28",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01471800",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "11161",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P22613",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 27, 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.