Individual provider Active NPI

Victor Anthony Pascucci, PT

  • Physical Therapist
  • Raleigh, NC
National Provider Identifier
1972226694
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P24190 Issued in NC
Practice address
4020 Wake Forest Rd Ste 105
Raleigh, NC 27609-6866
Phone
(919) 714-7733
NPI assigned
Sep 20, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X LPT034048 GA
Physical Therapist 225100000X PT61531639 WA
Physical Therapist 225100000X 307034 CA
Physical Therapist 225100000X LPT034048 AZ
Physical Therapist 225100000X 11548 SC
Physical Therapist 225100000X P24190 NC Primary
Physical Therapist 225100000X 049214 NY

Addresses

Primary practice location

4020 Wake Forest Rd Ste 105
Raleigh, NC 27609-6866

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-8995

Other practice location 1

1562 Hwy 24/87
Cameron, NC 28326-9424
Phone (919) 388-0111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, WA, NC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20221115001830 SC Practitioner - Physical Therapist in Private Practice 7810365376 Reassigns benefits to 2 organizations
I20240808000713 WA Practitioner - Physical Therapist in Private Practice 7810365376 Reassigns benefits to 1 organization
I20250825002985 NC Practitioner - Physical Therapist in Private Practice 7810365376 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Carolina Luna Care Physical Therapy LLCGroup PAC ID 8921418757, 66 clinicians
Breakthrough Physical Therapy IncGroup PAC ID 9234274754, 110 clinicians
Duke University Health System, IncGroup PAC ID 2567372345, 1,083 clinicians

Practice addresses (Care Compare)

144 Sierra Dr
Hendersonville, NC 28739-7964
Phone (866) 525-3175

1562 Hwy 24/87
Cameron, NC 28326
Phone (910) 436-4545

40 Duke Medicine Cir
Durham, NC 27710-4000
Phone (919) 684-8111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPT034048AZMDPhysical Therapist
LPT034048GAMDPhysical Therapist
049214NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kitsap Physical Therapy and Sports Clinic PS Inc Physical Therapist CurrentSince May 12, 2024 Accepting new patients
Kitsap Physical Therapy and Sports Clinic PS Inc Physical Therapist CurrentSince May 12, 2024 Accepting new patients
Greenville Proaxis Therapy, LLC Physical Therapist CurrentSince Sep 19, 2022 Accepting new patients
Golden State Orthopedics & Spine CurrentSince Nov 18, 2024 Accepting new patients
Golden State Orthopedics & Spine Current Accepting new patients
Duke University Health System, Inc. CurrentSince Sep 21, 2025 Accepting new patients
Drayer Physical Therapy - South Carolina, LLC Physical Therapist CurrentSince May 15, 2023 Accepting new patients
Drayer Physical Therapy-South Carolina, LLC Physical Therapist CurrentSince May 15, 2023 Accepting new patients
Duke University Health System, Inc. Physical Therapist CurrentSince Sep 21, 2025 Accepting new patients
Breakthrough Physical Therapy Inc Physical Therapist CurrentSince Jul 21, 2025 Accepting new patients
North Carolina Luna Care Physical Therapy LLC Physical Therapist CurrentSince Sep 21, 2025 Accepting new patients
Greenville Proaxis Therapy LLC CurrentSince Sep 19, 2022 Accepting new patients
Golden State Orthopedics & Spine CurrentSince Nov 18, 2024 Accepting new patients
Prisma Health University Medical Group Past Accepting new patients
Advance Rehabilitation & Consulting Limited Partnership Physical Therapist PastSince Sep 1, 2023 Accepting new patients
Advance Rehabilitation & Consulting Limited Partnership Physical Therapist PastSince Sep 1, 2023 Accepting new patients
Breakthrough Physical Therapy Physical Therapist Past Accepting new patients
Golden State Orthopedics & Spine Past Accepting new patients

Locations

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

221 E Hacienda Ave
Ste A
Campbell, CA 95008
Phone (408) 356-0444

2405 Shadelands Dr
Walnut Creek, CA 94598
Phone (615) 930-0820

790 Remington Blvd
Bolingbrook, IL 60440

33205 Collection Ctr Dr
Chicago, IL 60693

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

303 N 35th St
Morehead City, NC 28557
Phone (252) 247-2738

111 Doctors Dr
Greenville, SC 29605
Phone (864) 242-4683

103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753

7585 Saint Andrews Rd
Irmo, SC 29063
Phone (803) 749-5031

19505 7th Ave NE
Poulsbo, WA 98370
Phone (360) 598-3764

2400 NW Myhre Rd
Ste 102
Silverdale, WA 98383
Phone (360) 598-3764

2400 NW Myhre Rd
Ste 101
Silverdale, WA 98383
Phone (360) 598-3764

Interoperability endpoints

  • Direct secure messaging: victor.pascucci.p2@direct.muirortho.nextgenshare.com

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1972226694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-8995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 WAKE FOREST RD STE 105",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096866",
            "telephone_number": "919-714-7733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1562 Hwy 24/87",
            "address_purpose": "LOCATION",
            "city": "Cameron",
            "state": "NC",
            "postal_code": "283269424",
            "country_code": "US",
            "telephone_number": "919-388-0111",
            "fax_number": "919-388-8668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PASCUCCI",
        "first_name": "VICTOR",
        "middle_name": "ANTHONY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-20",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "LPT034048",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61531639",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "307034",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT034048",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "11548",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P24190",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "049214",
            "primary": false
        }
    ],
    "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 Jun 24, 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.