Brady Kenneth Conn

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC018785 Issued in PA

Practice address

2628 Elmwood Ave
Erie, PA 16508-1421

Phone

(814) 201-5081

NPI assigned

Feb 5, 2026

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

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

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.

• Clinical Practice of Lecom Institute for Successful Living

  • Multi-Specialty Clinic/Center
  • Erie, PA
  • NPI 1326921487
  Medicare reassignment NPD

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

{
    "created_epoch": "1770249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1417808429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 WELLINGTON ST",
            "city": "NORTH EAST",
            "state": "PA",
            "postal_code": "164281727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2628 ELMWOOD AVE",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165081421",
            "telephone_number": "814-201-5081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONN",
        "first_name": "BRADY",
        "middle_name": "KENNETH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-02-05",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC018785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Meredith Compton, RDN, LDN, CSO
• Mikayla Conant
• Lisa L Cone, CNM
• Alyssa Danielle Conjack, O.D.
• Laura L Conley, PT
• Linda C Connell, LSW
• Conrad House Inc
• Consigliere Counseling Group LLC
• Joshua D. Constable, D.O.
• Ryan Constantine, M.D., PHD

• Occupational Therapist in Erie, PA
• Providers in Erie, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; 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.