Individual provider Active NPI

Lauren Emily Sutton

  • Physical Therapist
  • Wake Forest, NC
National Provider Identifier
1942982277
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P22449 Issued in NC
Practice address
1009 Stadium Dr Ste 124
Wake Forest, NC 27587-4687
Phone
(919) 453-5910
NPI assigned
Aug 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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 P22449 NC Primary

Addresses

Primary practice location

1009 Stadium Dr Ste 124
Wake Forest, NC 27587-4687

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925

Other names 1

  • Lauren Colston Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240228000711 NC Practitioner - Physical Therapist in Private Practice 8426493651 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Activcare Physical Therapy, LLCGroup PAC ID 8628027471, 126 clinicians
Wake Forest Physical TherapyGroup PAC ID 6507818788, 7 clinicians

Practice addresses (Care Compare)

4109 Wake Forest Rd
Suite 200
Raleigh, NC 27609-6262
Phone (919) 322-0042

843 Wake Forest Business Park
Suite 110
Wake Forest, NC 27587-6578
Phone (919) 570-7080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P22449NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest Physical Therapy Physical Therapist CurrentSince Feb 28, 2026 Accepting new patients
Activcare Physical Therapy, LLC Physical Therapist CurrentSince Aug 6, 2023 Accepting new patients
Activcare Physical Therapy, LLC Physical Therapist CurrentSince Jan 16, 2024 Accepting new patients

Locations

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

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

4109 Wake Forest Rd
Ste 200
Raleigh, NC 27609
Phone (919) 322-0042

1009 Stadium Dr
Ste 124
Wake Forest, NC 27587
Phone (919) 453-5910

Interoperability endpoints

  • Direct secure messaging: lauren.colston.p12@direct.athleticoltd.nextgenshare.com

Organizations & group practices 3

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": "1691107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1942982277",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 STADIUM DR STE 124",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874687",
            "telephone_number": "919-453-5910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "LAUREN",
        "middle_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-04",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P22449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "COLSTON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.