Christopher Conrad, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

041186 Issued in NY

Practice address

2848 Middle Country Road
Lake Grove, NY 11755-1915

Phone

(631) 780-5550

NPI assigned

Dec 22, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

New York Medical College, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

William Joseph Vanvynck Physical Therapy PCGroup PAC ID 0042518045, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• William Joseph Vanvynck Physical Therapy, P.C.

  • Physical Therapist
  • Huntington, NY
  • NPI 1972963874
  Medicare reassignment Care Compare group NPD
• Massapequa PT & Pta PLLC

  • Physical Therapist
  • N Massapequa, NY
  • NPI 1316246895
  Medicare reassignment
• Rom on the Run Physical Therapy, PC

  • Physical Therapist
  • East Northport, NY
  • NPI 1740455633
  NPD (past)

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

{
    "created_epoch": "1482364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482364800000",
    "number": "1245775519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 HAMILTON PL",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "117551915",
            "telephone_number": "631-780-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2848 MIDDLE COUNTRY ROAD",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "117551915",
            "telephone_number": "631-780-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONRAD",
        "first_name": "CHRISTOPHER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-22",
        "last_updated": "2016-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "041186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clifford a. Dukofsky, D.C., P.C
• Jacqueline Sommer Colalillo
• Emily Colletti, BSN, RN
• Rovena Collins, DO
• Christina Colombo
• Tiffany Cooper
• Andrea Cordova, NP
• Kelly Coulehan Crotty, PHD
• Melissa Coyle, LCSW-R
• Melissa Ann Crimi, PNP

• Physical Therapist in Lake Grove, NY
• Providers in Lake Grove, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; 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.