Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blaire Ashley Waltz, DPT

Individual provider Physical Therapist · NPI 1477282390

Blaire Ashley Waltz, DPT is a Physical Therapist in Private Practice in Fayetteville, North Carolina. Qualified in 2022, 4 years ago. Practices with Low Country Physical Therapy, a 10-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Carolina and South Carolina.

Years since qualifying
4
Licensed in
NC, SC
In the registry since
2022
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1991 Fordham Dr Ste 102
Fayetteville, NC 28304-3774
Phone: (910) 484-4653
Fax: (910) 483-9256
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2586 S Highway 17 Unit C-D, Murrells Inlet, SC 29576-6605 — (846) 651-6565
  • 267 Willbrook Blvd Unit D, Pawleys Island, SC 29585-8618 — (843) 314-3980

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence P21358 (NC)
Physical Therapist Taxonomy 225100000X · Licence 12466 (SC)

Record details

NPI number1477282390
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 7, 2022
Last updated in NPPESJanuary 14, 2026
Certification dateJanuary 14, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Low Country Physical Therapy — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fayetteville