Individual provider Active NPI

Hailey Conway

  • Occupational Therapist
  • Indianapolis, IN
National Provider Identifier
1477242550
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
31006910A Issued in IN
Practice address
7212 US 31
Indianapolis, IN 46227-8549
Phone
(317) 889-9822
NPI assigned
May 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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 31006910A IN Primary

Addresses

Primary practice location

7212 US 31
Indianapolis, IN 46227-8549

Mailing address

2222 E Pleasant Run Parkway North Dr
Indianapolis, IN 46203-2118
Phone (812) 498-8158

Other practice location 1

607 Greenwood Springs Dr
Greenwood, IN 46143-6377
Phone (317) 215-3800

Other practice location 2

12315 Pennsylvania St
Carmel, IN 46032-6601
Phone (317) 669-9486

Other names 1

  • Hailey Brown Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230607002190 IN Practitioner - Occupational Therapist in Private Practice 4486011319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aegis Group Practice LLCGroup PAC ID 5193036432, 399 clinicians

Practice addresses (Care Compare)

7212 US 31
Indianapolis, IN 46227-8549
Phone (800) 444-6845

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31006910AINMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aegis Group Practice LLC Occupational Therapist CurrentSince May 16, 2023 Accepting new patients
Aegis Group Practice LLC Occupational Therapist Current Accepting new patients
Aegis Group Practice LLC Occupational Therapist CurrentSince May 16, 2023 Accepting new patients

Locations

4933 Old Greenwood Rd
Fort Smith, AR 72903

2335 N Madison Ave
Anderson, IN 46011
Phone (765) 610-8996

98 N 10th St
Greencastle, IN 46135
Phone (765) 301-4642

Organizations & group practices 3

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": "1683072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1477242550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 E PLEASANT RUN PARKWAY NORTH DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462032118",
            "telephone_number": "812-498-8158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7212 US 31",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462278549",
            "telephone_number": "317-889-9822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "607 Greenwood Springs Dr",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "IN",
            "postal_code": "461436377",
            "country_code": "US",
            "telephone_number": "317-215-3800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12315 Pennsylvania St",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "460326601",
            "country_code": "US",
            "telephone_number": "317-669-9486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONWAY",
        "first_name": "HAILEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31006910A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAILEY",
            "last_name": "BROWN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.