Kirk Conway, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

17145 Issued in MD

Practice address

110 Main Street
Suite 1
Prince Frederick, MD 20678-4022

Phone

(410) 535-9850

Fax

(410) 535-9851

NPI assigned

Oct 19, 2006

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 MD

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

K Conway Physical Therapy, Inc.Group PAC ID 2466510342, 4 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 and National Provider Directory roles.

• K Conway Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Prince Frederick, MD
  • NPI 1780889154
  Medicare reassignment Care Compare group NPD Authorized official
• Calvert Physical Therapy and Sports Fitness Ctr.

  • Physical Therapist
  • Prince Frederick, MD
  • NPI 1780724617
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328227200000",
    "number": "1578645933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 492",
            "city": "HUNTINGTOWN",
            "state": "MD",
            "postal_code": "206390492",
            "telephone_number": "410-535-9850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MAIN STREET",
            "address_2": "SUITE 1",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784022",
            "telephone_number": "410-535-9850",
            "fax_number": "410-535-9851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONWAY",
        "first_name": "KIRK",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2012-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "17145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Compass Counseling Services, LLC
• Christine Conn
• Brian Michael Connolly, MD
• Christina Gabriel Connolly
• Vincent Constantino
• Candice D Coombs, DPT
• John Lawrence Cooper
• Danielle Glenn Corbin, AU.D.
• Coralia Cordero
• Cornerstone Montgomery, Inc.

• Physical Therapist in Prince Frederick, MD
• Providers in Prince Frederick, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; 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.