Eric Conrad, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TEI004658 Issued in PA

Practice address

4221 Boone St Apt 2
Philadelphia, PA 19128-5002

Phone

(570) 295-8193

NPI assigned

Mar 13, 2017

Last updated

Mar 13, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1770024648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 BOONE ST APT 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191285002",
            "telephone_number": "570-295-8193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 BOONE ST APT 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191285002",
            "telephone_number": "570-295-8193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONRAD",
        "first_name": "ERIC",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-13",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TEI004658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Venus J Connors, RN
• Conover Dental Care LLC
• Derek J Conover, DMD
• Benjamin Conrad, OTA
• Emily Marie Conrad, DPT
• Erin Caitlin Conrad, MD
• Maire Abraham Conrad, MD
• Rebecca S Conrad, M.D.
• Taylor Conrad, PHARMD
• Christine Conroy, MD

• Physical Therapy Assistant in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.