Individual provider Active NPI

Tanya Conley, DPT

  • Physical Therapist
  • Santa Maria, CA
National Provider Identifier
1104934835
Registry record updated May 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
4869 S Bradley Rd
114
Santa Maria, CA 93455-5065
Phone
(805) 938-5320
Fax
(805) 938-5390
NPI assigned
Aug 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

4869 S Bradley Rd
114
Santa Maria, CA 93455-5065

Mailing address

805 Aerovista PL
201
San Luis Obispo, CA 93401-7919
Phone (805) 788-0805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200417001073 CO Practitioner - Physical Therapist in Private Practice 6507965092 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33710CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Covell Care and Rehabilitation, LLC Physical Therapist CurrentSince Mar 17, 2020 Accepting new patients
Action Potential RLLP Physical Therapist CurrentSince Jan 10, 2022 Accepting new patients
Action Potential RLLP Physical Therapist CurrentSince Jan 10, 2022 Accepting new patients
San Luis Physical Therapy & Orthopedic Rehabilitation Inc Physical Therapist Past Accepting new patients
San Luis Physical Therapy & Orthopedic Rehabilitation Inc Physical Therapist Past Accepting new patients

Locations

2955 Professional Pl
Ste 200
Colorado Springs, CO 80904
Phone (719) 227-7079

328 Main St
Colorado Springs, CO 80911
Phone (719) 392-7777

1612 E Pikes Peak Ave
Colorado Springs, CO 80909
Phone (719) 475-8080

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274659200000",
    "number": "1104934835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 AEROVISTA PL",
            "address_2": "201",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017919",
            "telephone_number": "805-788-0805",
            "fax_number": "805-788-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4869 S BRADLEY RD",
            "address_2": "114",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934555065",
            "telephone_number": "805-938-5320",
            "fax_number": "805-938-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONLEY",
        "first_name": "TANYA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2010-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.