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

Grace Holleran La Porte, DPT

Individual provider Physical Therapist · NPI 1154155653

Grace Holleran La Porte, DPT is a Physical Therapist in Private Practice in Fayetteville, North Carolina. Qualified in 2024, 2 years ago. Practices with Cape Fear Valley Health Medical Group LLC, a 330-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alaska, North Carolina, New York and Washington.

Years since qualifying
2
Licensed in
AK, NC, NY, WA
In the registry since
2024
Specialties on file
4
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1991 Fordham Dr Ste 102
Fayetteville, NC 28304-3774
Phone: (910) 484-4653
Fax: (910) 483-9256
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3455 Rewak Dr Ste 106, Fairbanks, AK 99709-5024 — (907) 457-5322

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence P24406 (NC)
Physical Therapist Taxonomy 225100000X · Licence PT61628723 (WA)
Physical Therapist Taxonomy 225100000X · Licence 246331 (AK)
Physical Therapist Taxonomy 225100000X · Licence 052932 (NY)

Record details

NPI number1154155653
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 27, 2024
Last updated in NPPESDecember 7, 2025
Certification dateDecember 7, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Cape Fear Valley Health Medical Group Llc — 330 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fayetteville