Christopher Conley
Individual provider Active NPI Physical Therapy Assistant · Beaver, OH
NPI 1154714871 · NPPES record last updated Mar 5, 2015
Key facts
- NPI
- 1154714871
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2103190 (TX)
- Practice address
- 1023 Buck Hollow Rd
Beaver, OH 45613-9704 - Phone
- (740) 941-8200
- NPI assigned
- Mar 5, 2015
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11138A | AZ | MD | Physical Therapy Assistant |
| 5502004287 | MI | MD | Physical Therapy Assistant |
| PTA 04602 | OH | MD | Physical Therapy Assistant |
| 2103190 | TX | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2103190 | TX | Yes |
| Physical Therapy Assistant | 225200000X | PTA 04602 | OH | |
| Physical Therapy Assistant | 225200000X | 5502004287 | MI | |
| Physical Therapy Assistant | 225200000X | 11138A | AZ |
Addresses
Primary practice location
1023 Buck Hollow Rd
Beaver, OH 45613-9704
Mailing address
1023 Buck Hollow Rd
Beaver, OH 45613-9704
Phone (740) 941-8200
Other providers in Beaver, OH
- Brandi Renae Brinson
- Cecilia Renee Cantrell
- Curtis Allen Clark
- Katlyn Clark
- Community Action Committee of Pike Co..,Inc.
- Donna J Copley
- Olivia Cornwell
- Kristal Shay Dailey
- Bryce Lewis Dale
- Eastern Local School District
All providers in Beaver, OH · Physical Therapy Assistant in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2015. 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.