Active NPI
Mary McGeachy Conner, PT
- Physical Therapist
- Shelby, NC
National Provider Identifier
1750401444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2114
- Practice address
- 1429 E Marion St Ste 5
Shelby, NC 28150-4946 - Phone
- (704) 480-5440
- Fax
- (704) 480-5477
- NPI assigned
- Mar 29, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2114 | NC | Primary |
Addresses
Primary practice location
1429 E Marion St Ste 5
Shelby, NC 28150-4946
Mailing address
335 Woodside Dr
Shelby, NC 28150-5109
Phone (704) 482-0048
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 079X | Other | NC | BLUE CROSS BLUE SHIELD |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2114 | NC | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NC DHHS Child and Family Well-Being | 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.
-
- Early Intervention Provider Agency
- Shelby, NC
- NPI 1679798029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750401444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "335 WOODSIDE DR",
"city": "SHELBY",
"state": "NC",
"postal_code": "281505109",
"telephone_number": "704-482-0048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1429 E MARION ST STE 5",
"city": "SHELBY",
"state": "NC",
"postal_code": "281504946",
"telephone_number": "704-480-5440",
"fax_number": "704-480-5477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNER",
"first_name": "MARY",
"middle_name": "MCGEACHY",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "2114",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "079X",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shelby, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.