Kelly Elizabeth Condren, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

007448 Issued in KY

Practice address

4020 Taylorsville Rd Ste 7
Louisville, KY 40220-1569

Phone

(502) 479-2552

Fax

(502) 479-2539

NPI assigned

Aug 6, 2018

Last updated

Aug 6, 2018By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533513600000",
    "number": "1770061376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 TAYLORSVILLE RD STE 7",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402201569",
            "telephone_number": "502-479-2552",
            "fax_number": "502-479-2539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 TAYLORSVILLE RD STE 7",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402201569",
            "telephone_number": "502-479-2552",
            "fax_number": "502-479-2539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONDREN",
        "first_name": "KELLY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-06",
        "last_updated": "2018-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "007448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY OUTPATIENT",
            "identifier": "454660825",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chayse Marie Condon
• Clayton Condon, APRN
• Tara Anne Condon, MA, AT, ATC
• Donald Morris Condor Jr., P.T.
• Cole S Condra, MD MSC
• Carmen Tania Condurache, M.D.
• Dnisha Conely, RBT
• Conficare Home Health Solutions, LLC
• Confluent Health LLC
• Carolyn Conforti

• Physical Therapist in Louisville, KY
• Providers in Louisville, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; 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.