Individual provider Active NPI

David Joshua Conti, DPT

  • Physical Therapist
  • Raleigh, NC
National Provider Identifier
1174798995
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13508 Issued in NC
Practice address
1300 Corporation Pkwy
Suite B
Raleigh, NC 27610-1362
Phone
(919) 917-7729
Fax
(919) 400-4178
NPI assigned
Apr 23, 2008
Last updated
Oct 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 13508 NC Primary

Addresses

Primary practice location

1300 Corporation Pkwy
Suite B
Raleigh, NC 27610-1362

Mailing address

1300 Corporation Pkwy
Suite B
Raleigh, NC 27610-1362
Phone (919) 917-7729

Other identifiers 1

IdentifierTypeStateIssuer
6QVGMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120511000465 NC Practitioner - Physical Therapist in Private Practice 4385826387 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Revive Boost Rebuild Physical Therapy LLCGroup PAC ID 5597063602, 2 clinicians

Practice addresses (Care Compare)

106 Farm Brook Dr
Suite C
Lumberton, NC 28358-2178
Phone 91991777291002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
13508NCMDProsthodontist
029457NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Revive Boost Rebuild Physical Therapy LLC Physical Therapist CurrentSince Sep 2, 2015 Accepting new patients

Locations

200 Bratton Dr
Garner, NC 27529
Phone (919) 917-7729

106 Farm Brook Dr
#A
Lumberton, NC 28358
Phone (910) 671-8556

106 Farm Brook Dr
Ste C
Lumberton, NC 28358
Phone (919) 727-9373

106 Farm Brook Dr
Unit C
Lumberton, NC 28358
Phone (919) 917-7729

1300 Corporation Pkwy
Ste B
Raleigh, NC 27610
Phone (919) 917-7729

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1174798995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 CORPORATION PKWY",
            "address_2": "SUITE B",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101362",
            "telephone_number": "919-917-7729",
            "fax_number": "919-400-4178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 CORPORATION PKWY",
            "address_2": "SUITE B",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101362",
            "telephone_number": "919-917-7729",
            "fax_number": "919-400-4178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTI",
        "first_name": "DAVID",
        "middle_name": "JOSHUA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-23",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "13508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6QVG",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.