Individual provider Active NPI

McCall Dube, PT, DPT

  • Physical Therapist
  • Holly Springs, NC
National Provider Identifier
1689302051
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305215159 Issued in VA
Practice address
500 Village Walk Dr
Holly Springs, NC 27540-4440
Phone
(919) 258-2200
NPI assigned
Aug 12, 2022
Last updated
Mar 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 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 2305215159 VA Primary
Physical Therapist 225100000X CP027123T NC

Addresses

Primary practice location

500 Village Walk Dr
Holly Springs, NC 27540-4440

Mailing address

PO Box 412313
Boston, MA 02241-2313
Phone (914) 294-4050

Other practice location 1

3001 Edwards Mill Rd Ste 200
Raleigh, NC 27612-5243
Phone (197) 814-0609

Other practice location 2

150 Burnetts Way Ste 230
Suffolk, VA 23434-8168
Phone (757) 942-2022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240304000107 NC Practitioner - Physical Therapist in Private Practice 1951746742 Reassigns benefits to 2 organizations
I20250214000278 VA Practitioner - Physical Therapist in Private Practice 1951746742 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab Sept, LLCGroup PAC ID 7911990908, 216 clinicians
Ivyrehab North Carolina LLCGroup PAC ID 8820336324, 158 clinicians

Practice addresses (Care Compare)

150 Burnetts Way
Suite 230
Suffolk, VA 23434-8168
Phone (757) 942-2022

500 Village Walk Dr
Holly Springs, NC 27540-4440
Phone (919) 258-2200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Orthopaedic Clinic PA CurrentSince Feb 1, 2024 Accepting new patients
Ivyrehab Sept, LLC Physical Therapist CurrentSince Jan 16, 2025 Accepting new patients
Ivyrehab North Carolina LLC CurrentSince Mar 3, 2026 Accepting new patients
Ivyrehab North Carolina LLC Physical Therapist CurrentSince Mar 3, 2026 Accepting new patients
Ivyrehab Sept, LLC Physical Therapist CurrentSince Jan 16, 2025 Accepting new patients

Locations

1325 Timber Dr E
Garner, NC 27529
Phone (919) 863-6856

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

3001 Edwards Mill Rd
Ste 200
Raleigh, NC 27612
Phone (919) 863-6852

2275 Beech Ave
Buena Vista, VA 24416
Phone (540) 466-1000

150 Burnetts Way
Ste 230
Suffolk, VA 23434
Phone (757) 942-2022

70 Jefferson Ct
Ste 102
Zion Crossroads, VA 22942
Phone (540) 832-3061

Organizations & group practices 5

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": "1660262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1689302051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412313",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022412313",
            "telephone_number": "914-294-4050",
            "fax_number": "631-760-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 VILLAGE WALK DR",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275404440",
            "telephone_number": "919-258-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3001 Edwards Mill Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276125243",
            "country_code": "US",
            "telephone_number": "197-814-0609",
            "fax_number": "919-781-5246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Burnetts Way Ste 230",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234348168",
            "country_code": "US",
            "telephone_number": "757-942-2022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUBE",
        "first_name": "MCCALL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-12",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305215159",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "CP027123T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly Springs, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.