Active NPI
Toby Lynn Conley, MPT
- Physical Therapist
- Ogden, UT
National Provider Identifier
1124288014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5189393-2401
- Practice address
- 3430 Harrison Blvd
Ogden, UT 84403-1231 - Phone
- (801) 399-5609
- Fax
- (801) 392-7372
- NPI assigned
- Jun 13, 2008
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5189393-2401 | UT | Primary |
Addresses
Primary practice location
3430 Harrison Blvd
Ogden, UT 84403-1231
Mailing address
2218 Kays Creek Dr
Layton, UT 84040-2319
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 |
|---|---|---|---|
| 5189393-2401 | UT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213315200000",
"number": "1124288014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2218 KAYS CREEK DR",
"city": "LAYTON",
"state": "UT",
"postal_code": "840402319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3430 HARRISON BLVD",
"city": "OGDEN",
"state": "UT",
"postal_code": "844031231",
"telephone_number": "801-399-5609",
"fax_number": "801-392-7372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONLEY",
"first_name": "TOBY",
"middle_name": "LYNN",
"name_prefix": "Mr.",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-13",
"last_updated": "2008-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "5189393-2401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.