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

Mary Lacke

Individual provider Physical Therapist · NPI 1457908964

Mary Lacke is a Physical Therapist in Private Practice in Chapel Hill, North Carolina. Qualified in 2019, 7 years ago. Practices with University of North Carolina Hospitals at Chapel Hill, a 112-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
7
Licensed in
TX
In the registry since
2019
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

102 Mason Farm Rd Ste 2550
Chapel Hill, NC 27599-5691
Phone: (984) 215-5130
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1321908 (TX)

Record details

NPI number1457908964
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 20, 2019
Last updated in NPPESJuly 10, 2025
Certification dateJuly 10, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice University Of North Carolina Hospitals At Chapel Hill — 112 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Chapel Hill