Organization Active NPI

Stephanie Conley Physical Therapist, LLC

  • Physical Therapist
  • Pensacola, FL
National Provider Identifier
1255760039
Registry record updated Nov 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
28072 Issued in FL
Legal business name
STEPHANIE CONLEY PHYSICAL THERAPIST, LLC
Practice address
9020 University Pkwy
Caring Hearts
Pensacola, FL 32514-5524
Phone
(850) 475-0555
NPI assigned
Nov 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2013

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

Authorized official

Name
Stephanie Marie Conley, PT, DPT
Title
Managing Member
Phone
(607) 329-8445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 28072 FL Primary

Addresses

Primary practice location

9020 University Pkwy
Caring Hearts
Pensacola, FL 32514-5524

Mailing address

4237 Winners Gait Cir
Pace, FL 32571-6371

Other identifiers 1

IdentifierTypeStateIssuer
1437587714OtherNPPES

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383350400000",
    "number": "1255760039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4237 WINNERS GAIT CIR",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325716371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9020 UNIVERSITY PKWY",
            "address_2": "CARING HEARTS",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325145524",
            "telephone_number": "850-475-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE CONLEY PHYSICAL THERAPIST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-02",
        "last_updated": "2013-11-02",
        "status": "A",
        "authorized_official_last_name": "CONLEY",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "607-329-8445",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "28072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1437587714",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2013; 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.