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

Tait Lawrence, DPT

Individual provider Physical Therapist · NPI 1780251371

Tait Lawrence, DPT is a Physical Therapist in Private Practice in Wilmington, North Carolina. Qualified in 2021, 5 years ago. Practices with Activcare Physical Therapy, LLC, a 127-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina and South Carolina.

Years since qualifying
5
Licensed in
NC, SC
In the registry since
2021
Specialties on file
2
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

140 Hays Ln Ste 110
Wilmington, NC 28411-3102
Phone: (910) 302-3280
Fax: (910) 213-3571
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1525 Chapin Road, Chapin, SC 29036-2903 — (803) 924-8405

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence P22806 (NC)
Physical Therapist Taxonomy 225100000X · Licence 10677 (SC)

Record details

NPI number1780251371
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 10, 2021
Last updated in NPPESJanuary 3, 2025
Certification dateJanuary 3, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Activcare Physical Therapy, Llc — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wilmington