Active NPI
John Paul Quinn, PT, DPT
- Physical Therapist
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P17475
- Practice address
- 2310 Bale St Ste 100
Raleigh, NC 27608-1795 - Phone
- (919) 364-4000
- Fax
- (919) 746-9229
- NPI assigned
- Dec 16, 2005
- Last updated
- Oct 10, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0269451 | NY | |
| Physical Therapist | 225100000X | P17475 | NC | Primary |
Addresses
Primary practice location
2310 Bale St Ste 100
Raleigh, NC 27608-1795
Mailing address
301 Manchester Rd
Suite101
Poughkeepsie, NY 12603-2586
Phone (845) 454-4137
Other practice location 1
301 Manchester Rd
Suite101
Poughkeepsie, NY 12603-2586
Phone (845) 454-4137
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10107038 | Other | NY | CDPHP |
| 796654 | Other | NY | MVP |
| 406936 | Other | NY | WELLCARE |
| 116413 | Other | NY | GHI |
| 692546 | Other | NY | EMPIRE MPN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2310 Bale St
Suite 100
Raleigh, NC 27608-1795
Phone (919) 364-4000
248 Grande Heights Dr
Cary, NC 27513-3925
Phone (919) 364-4000
301 Manchester Rd
Suite 101
Poughkeepsie, NY 12603-2587
Phone (845) 454-4137
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0269451 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moriarty Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
Locations
248 Grande Heights Dr
Cary, NC 27513
Phone (919) 364-4000
2310 Bale St
Ste 100
Raleigh, NC 27608
Phone (919) 364-4000
Organizations & group practices 2
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.
-
- Physical Therapist
- Raleigh, NC
- NPI 1447715982
-
- Physical Therapist
- Poughkeepsie, NY
- NPI 1245200518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665360000000",
"number": "1528044013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 MANCHESTER RD",
"address_2": "SUITE101",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126032586",
"telephone_number": "845-454-4137",
"fax_number": "845-454-6457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2310 BALE ST STE 100",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276081795",
"telephone_number": "919-364-4000",
"fax_number": "919-746-9229"
}
],
"practiceLocations": [
{
"address_1": "301 Manchester Rd",
"address_2": "Suite101",
"address_purpose": "LOCATION",
"city": "Poughkeepsie",
"state": "NY",
"postal_code": "126032586",
"country_code": "US",
"telephone_number": "845-454-4137",
"fax_number": "845-454-6457",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QUINN",
"first_name": "JOHN",
"middle_name": "PAUL",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-16",
"last_updated": "2022-10-10",
"certification_date": "2022-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "0269451",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P17475",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10107038",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "796654",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "406936",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "116413",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE MPN",
"identifier": "692546",
"state": "NY"
}
],
"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 10, 2022; 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.