Individual provider Active NPI

Ashley Nicole Conway

  • Occupational Therapist
  • Columbia, IL
National Provider Identifier
1356086359
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056012922 Issued in IL
Practice address
480 DD Rd
Columbia, IL 62236-3837
Phone
(618) 215-6174
NPI assigned
May 3, 2022
Last updated
May 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2022

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 056012922 IL Primary

Addresses

Primary practice location

480 DD Rd
Columbia, IL 62236-3837

Mailing address

625 Hartman LN
Waterloo, IL 62298-1861
Phone (270) 994-5979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220510002581 MO Practitioner - Occupational Therapist in Private Practice 8527445600 Reassigns benefits to 2 organizations
I20220517001893 IL Practitioner - Occupational Therapist in Private Practice 8527445600 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1051 Kent St
Liberty, MO 64068-2257
Phone (816) 370-5242

7108 Marine Rd
Edwardsville, IL 62025-4282
Phone (618) 706-9759

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Wellness Kansas City, LLC Occupational Therapist CurrentSince May 5, 2022 Accepting new patients
Empowerme Wellness Kansas City, LLC Occupational Therapist CurrentSince May 5, 2022 Accepting new patients
Empowerme Wellness Kansas City, LLC CurrentSince May 5, 2022 Accepting new patients
Empowerme Rehabilitation Missouri LLC Occupational Therapist CurrentSince May 5, 2022 Accepting new patients
Empowerme Rehabilitation Missouri LLC Occupational Therapist CurrentSince May 5, 2022 Accepting new patients
Empowerme Rehabilitation Illinois, LLC Occupational Therapist CurrentSince May 5, 2022 Accepting new patients
Empowerme Rehabilitation Illinois, LLC Occupational Therapist CurrentSince May 5, 2022 Accepting new patients

Locations

1021 W E St
Belleville, IL 62220
Phone (618) 233-2095

7108 Marine Rd
Edwardsville, IL 62025
Phone (618) 706-9759

3002 John Duffy Dr
Joplin, MO 64804
Phone (417) 553-9767

1800 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 255-8094

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 287-3917

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1356086359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 HARTMAN LN",
            "city": "WATERLOO",
            "state": "IL",
            "postal_code": "622981861",
            "telephone_number": "270-994-5979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 DD RD",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622363837",
            "telephone_number": "618-215-6174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONWAY",
        "first_name": "ASHLEY",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-03",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056012922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.