Gregg W Condon, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10722 Issued in MA

Practice address

84 Willimansett St
South Hadley, MA 01075-3062

Phone

(413) 533-8501

Fax

(413) 533-8502

NPI assigned

Apr 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053373787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 SPRINGFIELD RD",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010851855",
            "telephone_number": "413-568-1388",
            "fax_number": "413-568-1389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 WILLIMANSETT ST",
            "city": "SOUTH HADLEY",
            "state": "MA",
            "postal_code": "010753062",
            "telephone_number": "413-533-8501",
            "fax_number": "413-533-8502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONDON",
        "first_name": "GREGG",
        "middle_name": "W",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "10722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0332500",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y67874",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Antoinette Clark
• Debra Clarke, B.S.
• David L Clinton, MD
• Andrea M Coleman, LICSW
• Xavier Colon
• Laurel Jean Cooke, MA OTR/L
• Crystal Cooper
• Bruce Joseph Coulombe, D.C.
• Karen Cree, B.S.
• Criterion Child Enrichment

• Physical Therapist in South Hadley, MA
• Providers in South Hadley, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.