Edelyn O Conrad, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1913 Issued in OK

Practice address

9041 NW 118TH St
Yukon, OK 73099-8942

Phone

(918) 200-5661

NPI assigned

Aug 31, 2006

Last updated

May 5, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Edelyn Salazar Former name

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Legacy Healthcare Services Inc

  • Physical Therapist
  • Tulsa, OK
  • NPI 1598332173
  Medicare reassignment Care Compare group NPD
• Legacy Healthcare Services Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1225879489
  NPD
• New Tradition Clinic LLC

  • Clinic/Center
  • Broken Arrow, OK
  • NPI 1669405437
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1619088259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9041 NW 118TH ST",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730998942",
            "telephone_number": "918-200-5661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9041 NW 118TH ST",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730998942",
            "telephone_number": "918-200-5661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONRAD",
        "first_name": "EDELYN",
        "middle_name": "O",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "1913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDELYN",
            "last_name": "SALAZAR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Complete Rehab Inc
• Complete Rehab, LLC (Oklahoma Pediatric Therapy Center)
• Comprehensive Pain Management of Oklahoma, P.L.L.C.
• Wimberly Anne Condren
• Connecting Care Clinic, LLC
• Riley Cooper
• Jacklyn Santana Cope
• Lindsi Anne Copeland
• Core Counseling Mental Health Services PLLC
• Core PT Yukon PLLC

• Physical Therapist in Yukon, OK
• Providers in Yukon, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.