Madeline Conley

Individual provider Active NPI Physical Therapist · Roxboro, NC

NPI 1043758972 · NPPES record last updated Feb 12, 2017

Key facts

NPI
1043758972
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT025782 (PA)
Practice address
615 Ridge Rd
Roxboro, NC 27573-4629
Phone
(336) 599-2121
NPI assigned
Feb 12, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PT025782PAMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT025782 PA Yes

Addresses

Primary practice location

615 Ridge Rd
Roxboro, NC 27573-4629

Mailing address

2329 Ben Franklin Dr
Pittsburgh, PA 15237-4211

Other providers in Roxboro, NC

All providers in Roxboro, NC · Physical Therapist in North Carolina

Sources for this page

Verify at the official NPI Registry.