Active NPI
Mary Jo Conrad-Reingold, OCCUPATIONAL THERAPI
- Occupational Therapist
- Rochester, NY
National Provider Identifier
1275839565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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.