Individual provider Active NPI

Laura Marie Conway, OTR/L, CHT

  • Hand Occupational Therapist
  • Wesley Chapel, FL
National Provider Identifier
1780848564
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
13272 Issued in FL
Practice address
2318 Greenbranch Dr
Wesley Chapel, FL 33544-6797
Phone
(813) 738-9680
NPI assigned
Jul 11, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 013477-1 NY
Hand Occupational Therapist 225XH1200X 13272 FL Primary

Addresses

Primary practice location

2318 Greenbranch Dr
Wesley Chapel, FL 33544-6797

Mailing address

707 Seagate Dr
Tampa, FL 33602-5789
Phone (631) 291-6716

Other identifiers 1

IdentifierTypeStateIssuer
013477-1OtherNYNY STATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231201000121 FL Practitioner - Occupational Therapist in Private Practice 4981052958 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13272FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sports and Orthopedic Rehabilitation Services, Inc. Current Accepting new patients
Sports and Orthopedic Rehabilitation Services Inc CurrentSince Oct 14, 2023 Accepting new patients
Sports and Orthopedic Rehabilitation Services Inc CurrentSince Oct 14, 2023 Accepting new patients

Locations

5347 Main St
Ste 202
New Prt Rchy, FL 34652
Phone (727) 841-0515

1807 Short Branch Dr
Ste 103
Trinity, FL 34655
Phone (727) 372-0182

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1780848564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 SEAGATE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025789",
            "telephone_number": "631-291-6716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2318 GREENBRANCH DR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446797",
            "telephone_number": "813-738-9680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONWAY",
        "first_name": "LAURA",
        "middle_name": "MARIE",
        "credential": "OTR/L, CHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-11",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "NY",
            "license": "013477-1",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "FL",
            "license": "13272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE LICENSE",
            "identifier": "013477-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.