Active NPI
Richard Condon, LMT
- Mechanotherapist
- Gardiner, NY
National Provider Identifier
1114796166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- 005566
- Practice address
- 2731 Route 44 55
Gardiner, NY 12525-5123 - Phone
- (845) 255-3584
- NPI assigned
- Jan 1, 2024
- 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 |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | 005566 | NY | Primary |
Addresses
Primary practice location
2731 Route 44 55
Gardiner, NY 12525-5123
Mailing address
2731 Route 44 55
Gardiner, NY 12525-5123
Phone (845) 750-8426
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 |
|---|---|---|---|
| 005566 | NY | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704067200000",
"number": "1114796166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2731 ROUTE 44 55",
"city": "GARDINER",
"state": "NY",
"postal_code": "125255123",
"telephone_number": "845-750-8426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2731 ROUTE 44 55",
"city": "GARDINER",
"state": "NY",
"postal_code": "125255123",
"telephone_number": "845-255-3584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONDON",
"first_name": "RICHARD",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-01-01",
"last_updated": "2024-01-01",
"certification_date": "2023-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "NY",
"license": "005566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gardiner, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.