Conroy Sports Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

CONROY SPORTS PHYSICAL THERAPY LLC

Practice address

319 North Front St
McHenry, IL 60050-5504

Phone

(815) 578-9655

Fax

(815) 578-9642

NPI assigned

Mar 25, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Stephen L Conroy, P.T.NPI 1144402645

Title

Owner

Phone

(815) 578-9655

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen L Conroy, P.T.

  • Physical Therapist
  • McHenry, IL
  • NPI 1144402645
  NPD (past) Authorized official
• Kathleen M Boehmer, P.T.A.

  • Physical Therapy Assistant
  • McHenry, IL
  • NPI 1821270331
  NPD (past)
• Peter Dionela, P.T.

  • Physical Therapist
  • McHenry, IL
  • NPI 1013199520
  NPD (past)
• Mary Matthiesen, P.T.

  • Physical Therapist
  • McHenry, IL
  • NPI 1730361114
  NPD (past)
• Rebecca Walker Muir Schultz, PT

  • Physical Therapist
  • Libertyville, IL
  • NPI 1457415945
  NPD (past)

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

{
    "created_epoch": "1174780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1598882391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 NORTH FRONT ST",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600505504",
            "telephone_number": "815-578-9655",
            "fax_number": "815-578-9642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 NORTH FRONT ST",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600505504",
            "telephone_number": "815-578-9655",
            "fax_number": "815-578-9642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONROY SPORTS PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-25",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "CONROY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-578-9655",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "05632057",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS OWCP",
            "identifier": "601014700",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7515430",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "05632289",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sabrina Condrey
• Conlon & Thompson Orthodontics, LTD.
• Michael L. Conlon, D.D.S., M.S.
• Madison Mae Connealy, PA-C
• Connect Hearing, Inc.
• Julie A Conroy, P.T.
• Stephen L Conroy, P.T.
• Frank Conti Mica, DMD
• Ernest A Conti, MD
• Theresa Joan Contos, L.P.C.

• Physical Therapy Clinic/Center in McHenry, IL
• Providers in McHenry, IL by specialty
• Physical Therapy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.