Individual provider Active NPI

Owen Patrick Quirk, PT, DPT

  • Physical Therapist
  • Cary, NC
National Provider Identifier
1629389689
Registry record updated Mar 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P12690 Issued in NC
Practice address
1613 Walnut St
Cary, NC 27511-5928
Phone
(919) 290-2799
NPI assigned
Jun 24, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2015

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 P12690 NC Primary

Addresses

Primary practice location

1613 Walnut St
Cary, NC 27511-5928

Mailing address

3100 NC Highway 55 Ste 101
Cary, NC 27519-8427
Phone (919) 290-2799

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100818000675 NC Practitioner - Physical Therapist in Private Practice 3779617378 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Brody School of Medicine at East Carolina University, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab North Carolina LLCGroup PAC ID 8820336324, 158 clinicians

Practice addresses (Care Compare)

100 Fitness Dr
Fuquay Varina, NC 27526-7263
Phone (919) 557-3100

Merit-based Incentive Payment System (MIPS)

Final score
88.67 of 100Reported as group
Quality
85.21
Promoting interoperability
99
Improvement activities
40
Cost
77.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab North Carolina LLC Physical Therapist CurrentSince Jan 17, 2024 Accepting new patients
Activcare Physical Therapy, LLC Physical Therapist CurrentSince Mar 21, 2015 Accepting new patients
Ivyrehab North Carolina LLC CurrentSince Jan 17, 2024 Accepting new patients

Locations

3100 NC 55 Hwy
Ste 101
Cary, NC 27519
Phone (919) 290-2799

1613 Walnut St
Cary, NC 27511
Phone (919) 290-2799

9216 Ardrey Kell Rd
Ste 300
Charlotte, NC 28277
Phone (980) 556-7330

5960 Fairview Rd
Ste 250
Charlotte, NC 28210
Phone (980) 224-7958

166 Springbrook Ave
Ste 201
Clayton, NC 27520
Phone (919) 535-8461

100 Fitness Dr
Fuquay Varina, NC 27526
Phone (919) 557-3100

500 Village Walk Dr
Holly Springs, NC 27540
Phone (919) 258-2200

3410 Executive Dr
Ste 205
Raleigh, NC 27609
Phone (919) 322-0042

Interoperability endpoints

  • Direct secure messaging: owen.quirk.p12@direct.athleticoltd.nextgenshare.com

Organizations & group practices 3

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": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426118400000",
    "number": "1629389689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 NC HIGHWAY 55 STE 101",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275198427",
            "telephone_number": "919-290-2799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 WALNUT ST",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275115928",
            "telephone_number": "919-290-2799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIRK",
        "first_name": "OWEN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-24",
        "last_updated": "2015-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P12690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; 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.