Winifred Ann Convery, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

005650 Issued in NY

Practice address

644 Orangeburg Ave
A Starting Place
Pearl River, NY 10965

Phone

(845) 735-6044

Fax

(845) 735-6044

NPI assigned

Nov 17, 2010

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

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289952000000",
    "number": "1679874002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 ORANGEBURG AVE",
            "address_2": "A STARTING PLACE",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "10965",
            "telephone_number": "845-735-6044",
            "fax_number": "845-735-6044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 ORANGEBURG AVE",
            "address_2": "A STARTING PLACE",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "10965",
            "telephone_number": "845-735-6044",
            "fax_number": "845-735-6044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONVERY",
        "first_name": "WINIFRED",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-17",
        "last_updated": "2010-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "005650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Collura, RN, BSN
• Barbara Virginia Concar, LPN
• Claire M Concar, LAC
• Connect Audiology PLLC
• Yvonne Conroy, OTR/L
• Suzette Coppolecchia
• Cornerstone Speech and Language Center
• Sheila Marguerite Cory
• Lindsey Coskey, LMHC
• Kiera Costello

• Physical Therapy Assistant in Pearl River, NY
• Providers in Pearl River, 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 17, 2010; 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.