Kelly M Conway, MS OTR/L, BSN, RN

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC009187 Issued in PA

Practice address

27 Jessop LN
Hatboro, PA 19040-1342

Phone

(570) 947-4854

NPI assigned

Jun 28, 2024

Last updated

Jun 28, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor on Science - Nursing, Master of Science, Registered Nurse

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Namaste Healthcare LLCX

  • Occupational Therapist
  • Hatboro, PA
  • NPI 1881429264
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1719532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1710722947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 JESSOP LN",
            "city": "HATBORO",
            "state": "PA",
            "postal_code": "190401342",
            "telephone_number": "570-947-4854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 JESSOP LN",
            "city": "HATBORO",
            "state": "PA",
            "postal_code": "190401342",
            "telephone_number": "570-947-4854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONWAY",
        "first_name": "KELLY",
        "middle_name": "M",
        "credential": "MS OTR/L, BSN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-28",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN773792",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC009187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francis J Clark, MD
• Avraham N Cohen, M.D.
• Collaborative Anesthesia Services LLC
• Cathy A Colt, M.D.
• Emma Marie Convery, MT-BC
• Corecomp RX LLC
• Jennifer B Coren, DO
• Nicole Ann Corradino, D.C
• County Line Pharmacy Inc (County Line Pharmacy)
• Jeanne Marie Coviello, OTRL

• Occupational Therapist in Hatboro, PA
• Providers in Hatboro, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.