Brock Conn, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

5510 Millfair Rd
Fairview, PA 16415-2228

Phone

(814) 250-1821

Fax

(814) 556-2092

NPI assigned

Nov 6, 2024

Last updated

Nov 6, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cortlyn Therapy PCGroup PAC ID 8729495684, 141 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Cortlyn Therapy, PC

  dba Symbria Outpatient Services

  • Physical Therapist
  • Cincinnati, OH
  • NPI 1235725730

  Occupational Therapist, PA

  Medicare reassignment Care Compare group NPD
• Therapy at Your Place LLC

  • Occupational Therapist
  • Fairview, PA
  • NPI 1972264794
  Medicare reassignment NPD

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

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1245053487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5510 MILLFAIR RD",
            "city": "FAIRVIEW",
            "state": "PA",
            "postal_code": "164152228",
            "telephone_number": "814-250-1821",
            "fax_number": "814-556-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5510 MILLFAIR RD",
            "city": "FAIRVIEW",
            "state": "PA",
            "postal_code": "164152228",
            "telephone_number": "814-250-1821",
            "fax_number": "814-556-2092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONN",
        "first_name": "BROCK",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC020347",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Lynn Cacchione, LCSW
• Taylor Calnon, NP
• Caring Chiropractic Services, PC
• Lianna Fay Carner, M.A
• Julie Cella
• Cheyelle Couse, LMT
• Dameon L Covert, RN, CRNP, FNP-BC
• Elizabeth Ashlee Davis, OTR/L
• Carolyn Sue Dixon, PTA
• Austin Dudenhoefer, DPT

• Occupational Therapist in Fairview, PA
• Providers in Fairview, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.