Individual provider Active NPI

Clare McConahay, DPT

  • Physical Therapist
  • Bloomington, IN
National Provider Identifier
1316629546
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05015187A Issued in IN
Practice address
4651 W Vernal Pike
Bloomington, IN 47404-9334
Phone
(812) 332-7529
Fax
(812) 339-7529
NPI assigned
Aug 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05015187A IN Primary

Addresses

Primary practice location

4651 W Vernal Pike
Bloomington, IN 47404-9334

Mailing address

4651 W Vernal Pike
Bloomington, IN 47404-9334
Phone (812) 332-7529

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Theraplay LLC Physical Therapist CurrentSince Aug 7, 2023 Accepting new patients

Locations

4651 W Vernal Pike
Bloomington, IN 47404
Phone 8123327529 ext. 60967

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1316629546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4651 W VERNAL PIKE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474049334",
            "telephone_number": "812-332-7529",
            "fax_number": "812-339-7529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4651 W VERNAL PIKE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474049334",
            "telephone_number": "812-332-7529",
            "fax_number": "812-339-7529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONAHAY",
        "first_name": "CLARE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05015187A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.