Individual provider Active NPI

John Paul Quinn, PT, DPT

  • Physical Therapist
  • Raleigh, NC
National Provider Identifier
1528044013
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P17475 Issued in NC
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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 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

IdentifierTypeStateIssuer
10107038OtherNYCDPHP
796654OtherNYMVP
406936OtherNYWELLCARE
116413OtherNYGHI
692546OtherNYEMPIRE MPN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060324000466 NY Practitioner - Physical Therapist in Private Practice 1052329562 Reassigns benefits to 1 organization
I20190927002943 NC Practitioner - Physical Therapist in Private Practice 1052329562 Reassigns benefits to 1 organization

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
Moriarty Physical Therapy IncGroup PAC ID 8426391392, 5 clinicians
Moriarty Physical Therapy, P.C.Group PAC ID 8426948027, 8 clinicians

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

LicenseStateTypeSpecialty
0269451NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Moriarty Physical Therapy Inc Physical Therapist CurrentSince May 25, 2019 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.

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.

Verify at the official NPI Registry.