Individual provider Active NPI

Lorelei Lynnette Conant, PTA

  • Physical Therapy Assistant
  • Oneonta, NY
National Provider Identifier
1649931684
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
1184537 Issued in NY
Practice address
43 Walnut St
Oneonta, NY 13820-1937
Phone
(845) 337-1323
NPI assigned
Jan 3, 2022
Last updated
Jan 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 1184537 NY Primary

Addresses

Primary practice location

43 Walnut St
Oneonta, NY 13820-1937

Mailing address

14 Scott St
Oxford, NY 13830-3453
Phone (607) 244-7323

Other names 1

  • Lorelei Lynnette Coville Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1184537NYMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1641168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1649931684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 SCOTT ST",
            "city": "OXFORD",
            "state": "NY",
            "postal_code": "138303453",
            "telephone_number": "607-244-7323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 WALNUT ST",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138201937",
            "telephone_number": "845-337-1323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONANT",
        "first_name": "LORELEI",
        "middle_name": "LYNNETTE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-03",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "1184537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORELEI",
            "last_name": "COVILLE",
            "middle_name": "LYNNETTE",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oneonta, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; 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.