Active NPI
Jeanne Ann Conlon
- Physical Therapy Assistant
- Chesterfield, MO
National Provider Identifier
1780235069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2014024444
- Practice address
- 15201 Olive Blvd
Chesterfield, MO 63017-1810 - Phone
- (636) 255-8281
- NPI assigned
- Sep 26, 2019
- 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 Therapy Assistant | 225200000X | 2014024444 | MO | Primary |
Addresses
Primary practice location
15201 Olive Blvd
Chesterfield, MO 63017-1810
Mailing address
10109 Courtwick Dr
Saint Louis, MO 63128-1610
Phone (319) 230-2505
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 |
|---|---|---|---|
| 2014024444 | MO | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569456000000",
"number": "1780235069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10109 COURTWICK DR",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631281610",
"telephone_number": "319-230-2505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15201 OLIVE BLVD",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630171810",
"telephone_number": "636-255-8281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONLON",
"first_name": "JEANNE",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-26",
"last_updated": "2019-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MO",
"license": "2014024444",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chesterfield, MO
- Comprehensive Anesthesia Care PC
- Comprehensive Anesthesia Care PC
- Concierge Hearing Care, LLC (Concierge Hearing Care)
- Confident Health Services LLC
- Brady Conley
- Cassondra Ann Connelly
- Drake Weston Conner, DDS, MD
- Conquer Therapy Services LLC
- Consolidated Resources Health Care Fund I, L.P. (The Westchester House)
- Kelly Constable, M.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.