Individual provider Active NPI

Conor Galvin, DO

  • Physical Therapist
  • Darien, CT
National Provider Identifier
1699340877
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
19 Old Kings Hwy S Ste 120
Darien, CT 06820-4532
Phone
(203) 621-0050
NPI assigned
May 20, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2021

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 Primary

Addresses

Primary practice location

19 Old Kings Hwy S Ste 120
Darien, CT 06820-4532

Mailing address

331 Baywood Dr
Baiting Hollow, NY 11933-1456

Other practice location 1

334 Underhill Ave Ste 1A
Yorktown Heights, NY 10598-4543
Phone (914) 245-0298

Other practice location 2

1234 Summer St # 102
Stamford, CT 06905-5558
Phone (203) 653-7269

Other practice location 3

6540 Main St Ste 5
Trumbull, CT 06611-1313
Phone (203) 816-0100

Other identifiers 1

IdentifierTypeStateIssuer
745389786MedicaidNY

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)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate PT - Trumbull PLLC CurrentSince Jun 1, 2022 Accepting new patients
Elevate Holding Company, LLC Physical Therapist CurrentSince Jun 1, 2022 Accepting new patients
Elevate Professional Services, LLC PastSince May 25, 2021 Accepting new patients

Locations

19 Old Kings Hwy S
Ste 120
Darien, CT 06820
Phone (201) 621-0050

6540 Main St
Ste 5
Trumbull, CT 06611
Phone (203) 816-0100

334 Underhill Ave
Ste 1A
Yorktown Hts, NY 10598
Phone (914) 245-0298

Organizations & group practices 3

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": "1621468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1699340877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 BAYWOOD DR",
            "city": "BAITING HOLLOW",
            "state": "NY",
            "postal_code": "119331456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 OLD KINGS HWY S STE 120",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068204532",
            "telephone_number": "203-621-0050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "334 Underhill Ave Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Yorktown Heights",
            "state": "NY",
            "postal_code": "105984543",
            "country_code": "US",
            "telephone_number": "914-245-0298",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1234 Summer St # 102",
            "address_purpose": "LOCATION",
            "city": "Stamford",
            "state": "CT",
            "postal_code": "069055558",
            "country_code": "US",
            "telephone_number": "203-653-7269",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6540 Main St Ste 5",
            "address_purpose": "LOCATION",
            "city": "Trumbull",
            "state": "CT",
            "postal_code": "066111313",
            "country_code": "US",
            "telephone_number": "203-816-0100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALVIN",
        "first_name": "CONOR",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "745389786",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Darien, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.