Active NPI
Conor James McClure, DPT
- Physical Therapist
- Carrboro, NC
National Provider Identifier
1790370443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P19749
- Practice address
- 110 Two Hills Dr
Carrboro, NC 27510-2675 - Phone
- (919) 338-1490
- NPI assigned
- Mar 4, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P19749 | NC | Primary |
Addresses
Primary practice location
110 Two Hills Dr
Carrboro, NC 27510-2675
Mailing address
110 Two Hills Dr
Carrboro, NC 27510-2675
Phone (919) 338-1490
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P19749 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kmkaz & Co, LLC | Current | Accepting new patients | |
| Complete Rehabilitation and Sports Physical Therapy, PC | Single Specialty | Past | Accepting new patients |
| Emerge-a Child'S Place, PLLC | Single Specialty | Past | Accepting new patients |
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.
-
- Physical Therapy Clinic/Center
- Chapel Hill, NC
- NPI 1992676894
-
- Physical Therapist
- Ronkonkoma, NY
- NPI 1811097306
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689206400000",
"number": "1790370443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 TWO HILLS DR",
"city": "CARRBORO",
"state": "NC",
"postal_code": "275102675",
"telephone_number": "919-338-1490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 TWO HILLS DR",
"city": "CARRBORO",
"state": "NC",
"postal_code": "275102675",
"telephone_number": "919-338-1490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLURE",
"first_name": "CONOR",
"middle_name": "JAMES",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-04",
"last_updated": "2023-07-13",
"certification_date": "2023-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NC",
"license": "P19749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carrboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.