Elis Raquel Conejo, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

9467 Issued in AZ

Practice address

6553 E. Baywood
Suite 205
Mesa, AZ 85206

Phone

(480) 396-9922

Fax

(480) 396-2429

NPI assigned

Aug 17, 2011

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

State licenses

Practice roles

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.

• BHSM Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Phoenix, AZ
  • NPI 1225505464
  NPD (past)
• BHSM Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Glendale, AZ
  • NPI 1235654237
  NPD (past)
• BHSM Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Peoria, AZ
  • NPI 1285271684
  NPD (past)
• BHSM Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Payson, AZ
  • NPI 1497222632
  NPD (past)

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313539200000",
    "number": "1700166154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6553 E. BAYWOOD",
            "address_2": "SUITE 205",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85206",
            "telephone_number": "480-396-9922",
            "fax_number": "480-396-2429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6553 E. BAYWOOD",
            "address_2": "SUITE 205",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85206",
            "telephone_number": "480-396-9922",
            "fax_number": "480-396-2429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONEJO",
        "first_name": "ELIS",
        "middle_name": "RAQUEL",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-17",
        "last_updated": "2011-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AZ",
            "license": "9467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Concentra Primary Care of Arizona PA
• Concentra Primary Care of Arizona PA
• Concentra Primary Care of Arizona, PA
• Concierge Anesthesia Services, PLLC
• Concordia Oncology, PC
• Roger W Conely, RPH
• Rachel Lynn Conforti, PHARM.D.
• Alysia Marie Conley, MD
• Marie Nicole Conn, NP-C
• Connect Hearing, Inc.

• Orthopedic Physical Therapist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Orthopedic Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; 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.