Individual provider Active NPI

John McConville, DPT

  • Physical Therapist
  • Harrisburg, NC
National Provider Identifier
1801313473
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P20047 Issued in NC
Practice address
6604 Roberta Rd
Harrisburg, NC 28075-9532
Phone
(704) 455-1172
NPI assigned
Aug 24, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11813 SC
Physical Therapist 225100000X 40QA01970000 NJ
Physical Therapist 225100000X P20047 NC Primary

Addresses

Primary practice location

6604 Roberta Rd
Harrisburg, NC 28075-9532

Mailing address

6604 Roberta Rd
Harrisburg, NC 28075-9532
Phone (704) 455-1172

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231129003587 SC Practitioner - Physical Therapist in Private Practice 9638443955 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Physical Therapy Associates LLCGroup PAC ID 7012989684, 496 clinicians

Practice addresses (Care Compare)

236 Lephillip Court
Concord, NC 28025-1917
Phone (419) 221-6717

6604 Roberta Rd
Harrisburg, NC 28075-9532
Phone (419) 221-6717

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01970000NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cora South Carolina LLC Current Accepting new patients
Cora South Carolina LLC CurrentSince Aug 6, 2023 Accepting new patients
Cora South Carolina LLC CurrentSince Aug 6, 2023 Accepting new patients
Cora South Carolina LLC Past Accepting new patients
Carolina Physical Therapy Associates LLC Past Accepting new patients
Cora South Carolina LLC Past Accepting new patients
Cora South Carolina LLC Past Accepting new patients
Cora South Carolina LLC Past Accepting new patients
Cora South Carolina LLC Past Accepting new patients
Cora South Carolina LLC Past Accepting new patients
Cora South Carolina LLC Past Accepting new patients
Carolina Physical Therapy Associates LLC Past Accepting new patients
Cora South Carolina LLC Past Accepting new patients
Cora South Carolina LLC Past Accepting new patients
Carolina Physical Therapy Associates LLC Past Accepting new patients
Carolina Physical Therapy Associates LLC Physical Therapist Past Accepting new patients
Carolina Physical Therapy Associates LLC Past Accepting new patients
Cora Health Services, Inc. Past Accepting new patients
Cora South Carolina LLC Past Accepting new patients
Carolina Physical Therapy Associates LLC Past Accepting new patients
Carolina Physical Therapy Associates LLC Past Accepting new patients
Cora South Carolina LLC Past Accepting new patients

Locations

876 Fording Island Rd
Ste 2
Bluffton, SC 29910
Phone (843) 507-8473

851 Heckle Blvd
Ste 115
Rock Hill, SC 29730
Phone (839) 388-0908

Organizations & group practices 25

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.

View all 25

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1801313473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6604 ROBERTA RD",
            "city": "HARRISBURG",
            "state": "NC",
            "postal_code": "280759532",
            "telephone_number": "704-455-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6604 ROBERTA RD",
            "city": "HARRISBURG",
            "state": "NC",
            "postal_code": "280759532",
            "telephone_number": "704-455-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONVILLE",
        "first_name": "JOHN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-24",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "11813",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01970000",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P20047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; 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.