Individual provider Active NPI

Mary Jo Conrad-Reingold, OCCUPATIONAL THERAPI

  • Occupational Therapist
  • Rochester, NY
National Provider Identifier
1275839565
Registry record updated Feb 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
008170-1
Practice address
620 Westfall Rd.
Article 16, Monroe Developmental Center
Rochester, NY 14620
Phone
(585) 461-8877
Fax
(585) 461-8545
NPI assigned
Feb 3, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 008170-1 Primary

Addresses

Primary practice location

620 Westfall Rd.
Article 16, Monroe Developmental Center
Rochester, NY 14620

Mailing address

620 Westfall Rd.
Article 16, Monroe Developmental Center
Rochester, NY 14620
Phone (585) 461-8740

Other names 1

  • Ms. Mary Jo Conrad Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1296691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296691200000",
    "number": "1275839565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 WESTFALL RD.",
            "address_2": "ARTICLE 16, MONROE DEVELOPMENTAL CENTER",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14620",
            "telephone_number": "585-461-8740",
            "fax_number": "585-461-8545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 WESTFALL RD.",
            "address_2": "ARTICLE 16, MONROE DEVELOPMENTAL CENTER",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14620",
            "telephone_number": "585-461-8877",
            "fax_number": "585-461-8545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONRAD-REINGOLD",
        "first_name": "MARY JO",
        "name_prefix": "Ms.",
        "credential": "OCCUPATIONAL THERAPI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-03",
        "last_updated": "2011-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": "008170-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY JO",
            "last_name": "CONRAD",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; 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.