Kimberly Lyons Conlon, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT33985 Issued in FL

Practice address

401 Palmetto St
New Smyrna Beach, FL 32168-7322

Phone

(386) 409-6800

NPI assigned

Jun 9, 2021

Last updated

Jan 9, 2023By the provider in NPPES

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

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rehab Advantage Solutions, PLLCGroup PAC ID 0749534865, 56 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Rehab Advantage Solutions, PLLC

  dba TMC Therapy at Home

  • Physical Therapist
  • Homosassa, FL
  • NPI 1164908307
  Medicare reassignment Care Compare group NPD
• Blue Water Therapy Inc

  • Clinic/Center
  • New Smyrna Beach, FL
  • NPI 1538409966

  Physical Therapist

  Medicare reassignment NPD
• Riverside Hospital Inc

  dba Riverside Smithfield Hospital

  • General Acute Care Hospital
  • Smithfield, VA
  • NPI 1366259863
  NPD (past)

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1730756594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 PALMETTO ST",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321687322",
            "telephone_number": "386-409-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 PALMETTO ST",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321687322",
            "telephone_number": "386-409-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONLON",
        "first_name": "KIMBERLY",
        "middle_name": "LYONS",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT33985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meaghn Michelle Collins, RN
• Teresita Collins
• Lisa Doreen Colon
• Comfortable Care Dental Health Professionals, P.a. (Hammock Gardens Dental Care)
• Complete Cardiology Care Inc
• Timothy Scott Connell II, BCBA
• Kirk Conrow, P.T.
• Jill Schollenberger Cook, PTA
• Cora Health Services Inc (CORA Physical Therapy - New Smyrna Beach)
• Victor Corey, RBT

• Physical Therapist in New Smyrna Beach, FL
• Providers in New Smyrna Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.