Mary G Conway, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070005954 Issued in IL

Practice address

71 W 156TH St
Suite 208
Harvey, IL 60426-4260

Phone

(708) 331-3748

Fax

(708) 331-3605

NPI assigned

Jun 7, 2006

Last updated

Jan 21, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mary G Evans Former name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ucm Medical Group Sub LLCGroup PAC ID 4688635337, 101 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ucm Medical Group Sub, LLC

  • Family Medicine Physician
  • Harvey, IL
  • NPI 1467442293
  Medicare reassignment Care Compare group NPD
• Chicago Institute of Neurosurgery & Neuroresearch

  • Neurological Surgery Physician
  • Chicago, IL
  • NPI 1326099391
  NPD (past)
• Cressa Perish MD SC

  • Family Medicine Physician
  • Flossmoor, IL
  • NPI 1467553743
  NPD (past)
• Hand and Orthopaedic Surgery Center Inc

  • Specialist
  • Oakbrook Terrace, IL
  • NPI 1881902583
  NPD (past)
• Hinsdale Sport and Spine Therapy

  • Physical Therapist
  • Westmont, IL
  • NPI 1922186139
  NPD (past)
• Kirk Center for Healthy Living, PC

  • Physical Therapy Clinic/Center
  • Homer Glen, IL
  • NPI 1124065743

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358726400000",
    "number": "1497795629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1119",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604434119",
            "telephone_number": "708-747-5850",
            "fax_number": "708-747-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 W 156TH ST",
            "address_2": "SUITE 208",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604264260",
            "telephone_number": "708-331-3748",
            "fax_number": "708-331-3605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONWAY",
        "first_name": "MARY",
        "middle_name": "G",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2013-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070005954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "EVANS",
            "middle_name": "G",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Betty Coleman-Bradley
• Rashonda Collins, P.A.
• Community Dialysis LLC (Community Dialysis of Harvey)
• Comprehensive Health Agency Nurturing Guest Enervation (C.H.A.N.G.E. OF Illinois)
• Comprehensive Pain Care SC
• Denice D Cook, M.D.
• Cornerstone Suppport Cila Home
• Joseph B Costa, MD
• Sheta Coulter, R.N.
• County of Cook Harvey Public School District 152

• Physical Therapist in Harvey, IL
• Providers in Harvey, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2013; 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.