Doctor profile · Federal record
Dr. MARY LACKE
Physical Therapist (CMS: PHYSICAL THERAPIST IN PRIVATE PRACTICE) · CHAPEL HILL, NC
- NPI 1457908964
- Accepts Medicare
- MIPS 94.1 / 100 · 2023
- 7 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
102 MASON FARM RD STE 2550
CHAPEL HILL, NC 275995691
(984) 215-5130 - Mailing address
-
630 S ELLIOTT RD APT 304
CHAPEL HILL, NC 275172621
Credentials & registration
- NPI registered
- August 2019 — 7 yrs on file
- Profile last updated
- July 10, 2025
- Year of graduation
- 2019 — 7 yrs since
- Specialty taxonomy
- 225100000X — NUCC code
- State license (1)
- Texas #1321908
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1457908964. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
2,229
Distinct HCPCS
5
Medicare allowed
$60,920
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
97110 |
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 914 | 95 | $23 | |
97140 |
Therapy procedure using manual technique, each 15 minutes | 652 | 86 | $21 | |
97112 |
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 527 | 88 | $31 | |
97161 |
Evaluation for physical therapy, typically 20 minutes | 76 | 69 | $102 | |
97530 |
Therapy procedure using functional activities | 60 | 22 | $34 |
In context: peer comparison
Among 28 peers in this city , average services per provider: 206. This provider delivers 11× the peer median.