Jodi Beth Conklin, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

004234-01 Issued in NY

Practice address

45 Ronald Reagan Blvd
Warwick, NY 10990-4105

Phone

(845) 986-5555

NPI assigned

Nov 18, 2021

Last updated

Nov 18, 2021By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aggie Pindral Physical Therapy, P.C.

  dba Warwick Physical Therapy

  • Physical Therapy Clinic/Center
  • Warwick, NY
  • NPI 1427440411
  NPD
• Warwick Valley Orthopedic Surgery, P.C.

  • Specialist
  • Goshen, NY
  • NPI 1902098312
  NPD (past)

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

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1639836281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 RONALD REAGAN BLVD",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109904105",
            "telephone_number": "845-986-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 RONALD REAGAN BLVD",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109904105",
            "telephone_number": "845-986-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONKLIN",
        "first_name": "JODI",
        "middle_name": "BETH",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-18",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "004234-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Clark
• Clear Thoughts Psychiatry Inc.
• Annmarie Slagle Cloutier, PHARM.D.
• Community OB GYN Associates
• Chelsea Leigh Conklin, OTR/L
• Janice M Connell, LMSW,CASAC,CSAT
• Caitlin Elizabeth Connelly, BCBA, LBA
• Kimberly Connelly, RN
• Kaitlynn Marie Connor
• Carol Alice Conroy, COTA

• Physical Therapy Assistant in Warwick, NY
• Providers in Warwick, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.