Robert L Conner III, PT, MPT, CSCS, FAFS

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

070015130 Issued in IL

Practice address

9805 S 51St Ave
Oak Lawn, IL 60453-3052

Phone

(248) 854-8188

NPI assigned

Mar 27, 2006

Last updated

May 21, 2015By 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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: robert.conner.1@14940.direct.athenahealth.com

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.

• Infiniteworks Illinois, Inc

  • Physical Therapy Clinic/Center
  • Oak Lawn, IL
  • NPI 1780916171
  Authorized official Same address or phone
• Sovereign Rehabilitation of Illinois LLC

  dba Sovereign Rehabilitation

  • Physical Therapy Clinic/Center
  • Chicago, IL
  • NPI 1376786749

  Orthopedic

  NPD (past)
• Sports and Ortho P.C

  • Rehabilitation Clinic/Center
  • Chicago, IL
  • NPI 1871640565
  NPD (past)
• Physical Therapy Southfield, P.C.

  • Physical Therapist
  • Southfield, MI
  • NPI 1922072974
  NPD (past)

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432166400000",
    "number": "1780644278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9805 S 51ST AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604533052",
            "telephone_number": "248-854-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9805 S 51ST AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604533052",
            "telephone_number": "248-854-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNER",
        "first_name": "ROBERT",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "PT, MPT, CSCS, FAFS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2015-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IL",
            "license": "070015130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE",
            "identifier": "10951",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "30374",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Concord Nursing & Rehabilitation Center LLC (Aperion Care Oak Lawn)
• Concord Nursing & Rehabilitation Center LLC (Aperion Care Oak Lawn)
• Concord Nursing Home, Inc. (Concord Extended Care)
• Confident Communicators PLLC
• Grant Conklin, PHARMD
• Alison Connolly, LCSW
• Kelly Marie Connolly
• Gerald Phillip Connors, D.D.S.
• Consuelo, Inc. (Consuelo Therapeutic Services)
• Consultants in Radiation Oncology S.C.

• Orthopedic Physical Therapist in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Orthopedic Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; 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.