Active NPI
Stephanie Conley Physical Therapist, LLC
- Physical Therapist
- Pensacola, FL
National Provider Identifier
1255760039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 28072
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437587714 | Other | NPPES |
National Provider Directory
National Provider DirectoryNPI 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.