Active NPI
David Conlon, PT
- Physical Therapist
- Cambridge, MD
National Provider Identifier
1508980830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 18921
- Practice address
- 525 Glenburn Ave
Cambridge, MD 21613-1414 - Phone
- (410) 221-1400
- NPI assigned
- Mar 19, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 18921 | MD | Primary |
| Physical Therapist | 225100000X | J1-0001243 | DE |
Addresses
Primary practice location
525 Glenburn Ave
Cambridge, MD 21613-1414
Mailing address
211 Greenwood Hall Farm LN
Grasonville, MD 21638-1125
Phone (410) 827-3494
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
| License | State | Type | Specialty |
|---|---|---|---|
| 18921 | MD | MD | Pharmacist |
| J1-0001243 | DE | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508980830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 GREENWOOD HALL FARM LN",
"city": "GRASONVILLE",
"state": "MD",
"postal_code": "216381125",
"telephone_number": "410-827-3494",
"fax_number": "410-827-8799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 GLENBURN AVE",
"city": "CAMBRIDGE",
"state": "MD",
"postal_code": "216131414",
"telephone_number": "410-221-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONLON",
"first_name": "DAVID",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "18921",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J1-0001243",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MD
- Community Behavioral Health, LLC
- Community Behavioral Health, LLC
- Community Behavioral Health, LLC
- Community Behavioral Health, LLC
- Comptroller of Maryland Central Payroll Bureau
- Phyllis T. Cook, CAC-AD, CCDC, ICADC
- Brittany Allison Cooper, LCSW-C
- Corsica River Mental Health Service, Inc.
- Corsica River Mental Health Service, Inc.
- Tiffani Cotton
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.