Michael C Conlin, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

01753 Issued in LA

Practice address

1100 C M Fagan Dr
Suite 103
Hammond, LA 70403-5938

Phone

(985) 542-6664

Fax

(985) 542-6428

NPI assigned

Jul 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anatomix Physical Therapy IncGroup PAC ID 3971576133, 4 clinicians

Anatomix Physical Therapy-Mandeville LLCGroup PAC ID 2365727971, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Anatomix Physical Therapy Inc

  • Physical Therapist
  • Hammond, LA
  • NPI 1376577015
  Medicare reassignment Care Compare group NPD Authorized official
• Anatomix Physical Therapy-Mandeville LLC

  • Physical Therapist
  • Mandeville, LA
  • NPI 1114462694
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304035200000",
    "number": "1396779252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 C M FAGAN DR",
            "address_2": "SUITE 103",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704035938",
            "telephone_number": "985-542-6664",
            "fax_number": "985-542-6428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 C M FAGAN DR",
            "address_2": "SUITE 103",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704035938",
            "telephone_number": "985-542-6664",
            "fax_number": "985-542-6428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONLIN",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2011-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "01753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "C3657",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Katressa Cook
• Kierra Cooks

• Physical Therapist in Hammond, LA
• Providers in Hammond, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2011; 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.