Connor Bryan Feeney, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT030500 Issued in PA

Practice address

16 Industrial Blvd Ste 101
Paoli, PA 19301-1609

Phone

(610) 484-6232

NPI assigned

Aug 21, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mobility Specialist LLCGroup PAC ID 4587901616, 7 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.

• Mobility Specialist LLC

  • Physical Therapy Clinic/Center
  • Paoli, PA
  • NPI 1316415433

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1407403868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3207 HILLIARD ROME RD",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430269472",
            "telephone_number": "614-850-0680",
            "fax_number": "614-850-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 INDUSTRIAL BLVD STE 101",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011609",
            "telephone_number": "610-484-6232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2185 Stringtown Rd",
            "address_purpose": "LOCATION",
            "city": "Grove City",
            "state": "OH",
            "postal_code": "431232989",
            "country_code": "US",
            "telephone_number": "614-539-5301",
            "fax_number": "614-539-8658",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3207 Hilliard Rome Rd",
            "address_purpose": "LOCATION",
            "city": "Hilliard",
            "state": "OH",
            "postal_code": "430269472",
            "country_code": "US",
            "telephone_number": "614-850-0680",
            "fax_number": "614-850-8910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEENEY",
        "first_name": "CONNOR",
        "middle_name": "BRYAN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-21",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT018219",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT030500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Fanfarillo, PA-C
• Shimon Gabriel Farkas, M.D.
• Cheryl Lynn Fattibene
• Abigail Favino, PT, DPT
• Samantha Federo, CRNP, FNP-C
• Lynn West Feinman
• Paul Felker, MSW
• Robyn Ferraro, DMD
• Fine Tune Psychiatry
• Nicole Marie Fine

• Physical Therapist in Paoli, PA
• Providers in Paoli, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.