Individual provider Active NPI

John Patrick Duffy, DPT

  • Physical Therapist
  • Fort Mill, SC
National Provider Identifier
1235936253
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12848 Issued in SC
Practice address
2021 Bridgemill Dr Ste 106
Fort Mill, SC 29707-9211
Phone
(803) 298-8995
Fax
(803) 620-4670
NPI assigned
Feb 26, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12848 SC Primary
Physical Therapist 225100000X P23922 NC

Addresses

Primary practice location

2021 Bridgemill Dr Ste 106
Fort Mill, SC 29707-9211

Mailing address

2020 W Morehead St Apt 207
Charlotte, NC 28208-5834

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250428002145 NC Practitioner - Physical Therapist in Private Practice 4284150830 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Rehab IncorporationGroup PAC ID 3173592581, 4 clinicians

Practice addresses (Care Compare)

889 Sherwood LN
Statesville, NC 28677-4183
Phone (704) 881-0088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Rehab Incorporation Physical Therapist CurrentSince Feb 6, 2025 Accepting new patients
Osprey Rehabilitation, LLC. PastSince Feb 6, 2025 Accepting new patients

Locations

889 Sherwood Ln
Statesville, NC 28677
Phone (704) 881-0088

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1740528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1235936253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 W MOREHEAD ST APT 207",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282085834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 BRIDGEMILL DR STE 106",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297079211",
            "telephone_number": "803-298-8995",
            "fax_number": "803-620-4670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFFY",
        "first_name": "JOHN",
        "middle_name": "PATRICK",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-26",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "12848",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P23922",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; 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.