Individual provider Active NPI

Leilane Rita Montecalvo Conopio, P.T.

  • Physical Therapist
  • Marion, IL
National Provider Identifier
1699004432
Registry record updated Dec 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
J1-0002331 Issued in DE
Practice address
3333 W Deyoung St
Marion, IL 62959-5884
Phone
(618) 998-7074
Fax
(618) 998-7515
NPI assigned
Dec 7, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X J1-0002331 DE Primary
Physical Therapist 225100000X 070.016809 IL

Addresses

Primary practice location

3333 W Deyoung St
Marion, IL 62959-5884

Mailing address

1920 Old Springville Rd
Center Point, AL 35215-5858
Phone (205) 520-9600

Other names 1

  • Leilane Rita Ayala Montecalvo 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
J1-0002331DEMDPhysical Therapist
070.016809ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Atlas Home Health Care - Lancaster, LLC Past Accepting new patients

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": "1260144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260144000000",
    "number": "1699004432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 OLD SPRINGVILLE RD",
            "city": "CENTER POINT",
            "state": "AL",
            "postal_code": "352155858",
            "telephone_number": "205-520-9600",
            "fax_number": "205-520-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 W DEYOUNG ST",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629595884",
            "telephone_number": "618-998-7074",
            "fax_number": "618-998-7515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONOPIO",
        "first_name": "LEILANE RITA",
        "middle_name": "MONTECALVO",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-07",
        "last_updated": "2009-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0002331",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.016809",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEILANE RITA",
            "last_name": "MONTECALVO",
            "middle_name": "AYALA",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marion, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; 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.