Individual provider Active NPI

Stephanie Marie Conley, PT, DPT

  • Physical Therapist
  • Pace, FL
National Provider Identifier
1437587714
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
28072 Issued in FL
Practice address
4624 Summerdale Dr
Pace, FL 32571-1368
Phone
(850) 994-3456
NPI assigned
Oct 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2022

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 28072 FL Primary

Addresses

Primary practice location

4624 Summerdale Dr
Pace, FL 32571-1368

Mailing address

20 Mayo Rd
Ste 105
Edgewater, MD 21037-1439
Phone (410) 956-7868

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

State licenses

LicenseStateTypeSpecialty
28072FLMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cypress Creek Therapy Associates LLC Physical Therapist CurrentSince May 4, 2025 Accepting new patients
Cypress Creek Therapy Associates LLC Physical Therapist CurrentSince May 17, 2022 Accepting new patients
Kids Talk Place LLC Past Accepting new patients
Kids Talk Place LLC PastSince Oct 17, 2021 Accepting new patients

Locations

20 Mayo Rd
Ste 105
Edgewater, MD 21037
Phone (410) 544-2500

20 Mayo Rd
Ste 205
Edgewater, MD 21037
Phone (410) 384-9242

Organizations & group practices 4

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": "1382486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1437587714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MAYO RD",
            "address_2": "STE 105",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210371439",
            "telephone_number": "410-956-7868",
            "fax_number": "410-956-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4624 SUMMERDALE DR",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325711368",
            "telephone_number": "850-994-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONLEY",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-23",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "28072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pace, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; 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.