Individual provider Active NPI

Conner Eric Pierra, DPT

  • Physical Therapist
  • Long Beach, CA
National Provider Identifier
1689427601
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
305589 Issued in CA
Practice address
2820 N Bellflower Blvd
Long Beach, CA 90815-1125
Phone
(562) 384-4525
Fax
(562) 384-4524
NPI assigned
Apr 9, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 305589 CA Primary

Addresses

Primary practice location

2820 N Bellflower Blvd
Long Beach, CA 90815-1125

Mailing address

2820 N Bellflower Blvd
Long Beach, CA 90815-1125
Phone (562) 384-4525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250131001717 CA Practitioner - Physical Therapist in Private Practice 6002345303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southland Physical Therapy IncGroup PAC ID 9234297771, 27 clinicians

Practice addresses (Care Compare)

2170 N Bellflower Blvd
Long Beach, CA 90815-3126
Phone (562) 384-4525

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
305589CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Southland Physical Therapy, Inc. Physical Therapist CurrentSince Nov 25, 2024 Accepting new patients

Locations

4482 Barranca Pkwy
Ste 195
Irvine, CA 92604
Phone (949) 679-3337

2820 N Bellflower Blvd
Long Beach, CA 90815
Phone (562) 384-4525

2170 N Bellflower Blvd
Long Beach, CA 90815
Phone (562) 384-4525

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1712620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1689427601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 N BELLFLOWER BLVD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151125",
            "telephone_number": "562-384-4525",
            "fax_number": "562-384-4524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 N BELLFLOWER BLVD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151125",
            "telephone_number": "562-384-4525",
            "fax_number": "562-384-4524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERRA",
        "first_name": "CONNER",
        "middle_name": "ERIC",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-09",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "305589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.