Cecily Conway, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

3192 Issued in MA

Practice address

441 Buck Island Rd
Unit K2
West Yarmouth, MA 02673-3362

Phone

(774) 208-8101

NPI assigned

Dec 8, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417996800000",
    "number": "1619375698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 BUCK ISLAND RD APT K2",
            "city": "WEST YARMOUTH",
            "state": "MA",
            "postal_code": "026733368",
            "telephone_number": "774-208-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 BUCK ISLAND RD",
            "address_2": "UNIT K2",
            "city": "WEST YARMOUTH",
            "state": "MA",
            "postal_code": "026733362",
            "telephone_number": "774-208-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONWAY",
        "first_name": "CECILY",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-08",
        "last_updated": "2014-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MA",
            "license": "3192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Hilst Cardelli
• Margaret M Carra, MED CAGS CRC LCRC
• Audrey S Chan
• Cynthia Jean Christian, MA
• Lucan Colquhoun
• Karen Ann Corcoran, M.A.
• Patricia Coughlin, PA-C
• Sarah Cozzens, OTR/L
• Teresa Cruz, RDH
• CVS Pharmacy Inc

• All providers in West Yarmouth, MA
• Physical Therapy Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; 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.