Dayne Elliott Conley, PT, MPT, MS, SCS,PES
Individual provider Active NPI Physical Therapist · Sunbury, OH
NPI 1104876069 · NPPES record last updated Dec 1, 2010
Key facts
- NPI
- 1104876069
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 008883 (OH)
- Practice address
- 700 W Cherry St
Sunbury, OH 43074-8011 - Phone
- (614) 791-0700
- Fax
- (614) 791-0702
- NPI assigned
- May 11, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008883 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Orthopaedic Home Care, LLC | Physical Therapist | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 008883 | OH | Yes |
Addresses
Primary practice location
700 W Cherry St
Sunbury, OH 43074-8011
Mailing address
8320 Avalon Dr
Plain City, OH 43064-6005
Phone (614) 792-3831
Other providers in Sunbury, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.