Active NPI
Brandon Edward Conley, PT, DPT
- Physical Therapist
- Albion, NY
National Provider Identifier
1083160204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 62 040409
- Practice address
- 14012 Route 31 West
Albion, NY 14411-9353 - Phone
- (585) 589-5637
- NPI assigned
- Aug 28, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 62 040409 | NY | Primary |
Addresses
Primary practice location
14012 Route 31 West
Albion, NY 14411-9353
Mailing address
14012 Ny-31 #1
Albion, NY 14411
Phone (585) 589-5637
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62 040409 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472342400000",
"number": "1083160204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14012 NY-31 #1",
"city": "ALBION",
"state": "NY",
"postal_code": "14411",
"telephone_number": "585-589-5637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14012 ROUTE 31 WEST",
"city": "ALBION",
"state": "NY",
"postal_code": "144119353",
"telephone_number": "585-589-5637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONLEY",
"first_name": "BRANDON",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-28",
"last_updated": "2016-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "62 040409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albion, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.