Active NPI
Jessica Conroy
- Occupational Therapy Assistant
- York, PA
National Provider Identifier
1013267889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- A02312
- Practice address
- 105 E Greenbriar Dr
York, PA 17407-1014 - Phone
- (412) 580-4445
- NPI assigned
- Sep 19, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | A02312 | MD | Primary |
Addresses
Primary practice location
105 E Greenbriar Dr
York, PA 17407-1014
Mailing address
105 E Greenbriar Dr
York, PA 17407-1014
Phone (412) 580-4445
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Jessica_stawasz@aol.com |
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 |
|---|---|---|---|
| A02312 | MD | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620604800000",
"number": "1013267889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 E GREENBRIAR DR",
"city": "YORK",
"state": "PA",
"postal_code": "174071014",
"telephone_number": "412-580-4445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 E GREENBRIAR DR",
"city": "YORK",
"state": "PA",
"postal_code": "174071014",
"telephone_number": "412-580-4445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONROY",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-19",
"last_updated": "2021-05-10",
"certification_date": "2021-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "MD",
"license": "A02312",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Jessica_stawasz@aol.com",
"affiliation": "N",
"address_1": "105 E Greenbriar Dr",
"city": "York",
"state": "PA",
"country_code": "US",
"postal_code": "174071014",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.