Active NPI
David P Conroy
- Occupational Therapist
- Farwell, TX
National Provider Identifier
1063708170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 104264
- Practice address
- 305 5TH Street
Farwell, TX 79325 - Phone
- (806) 481-9027
- NPI assigned
- Jun 27, 2011
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 104264 | TX | Primary |
Addresses
Primary practice location
305 5TH Street
Farwell, TX 79325
Mailing address
2826 22ND Street
Lubbock, TX 79410
Phone (806) 796-2433
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 |
|---|---|---|---|
| 104264 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309132800000",
"number": "1063708170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2826 22ND STREET",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "79410",
"telephone_number": "806-796-2433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 5TH STREET",
"city": "FARWELL",
"state": "TX",
"postal_code": "79325",
"telephone_number": "806-481-9027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONROY",
"first_name": "DAVID",
"middle_name": "P",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-27",
"last_updated": "2011-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "104264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farwell, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.