Individual provider Active NPI

John McCarthy, PT, DPT

  • Orthopedic Physical Therapist
  • Newington, CT
National Provider Identifier
1750107660
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
014178 Issued in CT
Practice address
2434 Berlin Tpke Ste 14
Newington, CT 06111-4122
Phone
(860) 687-9700
NPI assigned
Nov 25, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 014178 CT Primary

Addresses

Primary practice location

2434 Berlin Tpke Ste 14
Newington, CT 06111-4122

Mailing address

11 Dover Rd
Newington, CT 06111-1015

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250721003438 CT Practitioner - Physical Therapist in Private Practice 6204342801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Roba Physical Therapy and Wellness LLCGroup PAC ID 4082003819, 6 clinicians

Practice addresses (Care Compare)

2434 Berlin Tpke
Suite 14
Newington, CT 06111-4122
Phone (860) 687-9700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14178CTMDClinical Social Worker
014178CTMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Roba Physical Therapy and Wellness LLC Orthopedic CurrentSince Jun 23, 2025 Accepting new patients

Locations

2434 Berlin Tpke
Ste 14
Newington, CT 06111
Phone (860) 687-9700

Organizations & group practices 1

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": "1732492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1750107660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 DOVER RD",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061111015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2434 BERLIN TPKE STE 14",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061114122",
            "telephone_number": "860-687-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-25",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CT",
            "license": "014178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.