Individual provider Active NPI

Conrad David Schillinger-Robinet, PTA

  • Physical Therapy Assistant
  • Moorpark, CA
National Provider Identifier
1205500980
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
50989 Issued in CA
Practice address
530 E Los Angeles Ave # 115-238
Moorpark, CA 93021-2081
Phone
(323) 448-3353
NPI assigned
Aug 5, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 50989 CA Primary

Addresses

Primary practice location

530 E Los Angeles Ave # 115-238
Moorpark, CA 93021-2081

Mailing address

530 E Los Angeles Ave # 115-238
Moorpark, CA 93021-2081
Phone (708) 912-2404

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

LicenseStateTypeSpecialty
50989CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1205500980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 E LOS ANGELES AVE # 115-238",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930212081",
            "telephone_number": "708-912-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 E LOS ANGELES AVE # 115-238",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930212081",
            "telephone_number": "323-448-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHILLINGER-ROBINET",
        "first_name": "CONRAD",
        "middle_name": "DAVID",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-05",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "50989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorpark, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.