Jill Conley, P.T.
Individual provider Active NPI Physical Therapist · Tiffin, OH
NPI 1811014236 · NPPES record last updated Nov 23, 2009
Key facts
- NPI
- 1811014236
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT008074 (OH)
- Practice address
- 3101 W US Highway 224
Tiffin, OH 44883-8305 - Phone
- (419) 443-1429
- Fax
- (419) 443-1691
- NPI assigned
- Mar 22, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT008074 | OH | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT008074 | OH | Yes |
Addresses
Primary practice location
3101 W US Highway 224
Tiffin, OH 44883-8305
Mailing address
8605 County Highway 50
Upper Sandusky, OH 43351-9451
Phone (419) 294-6469
Other providers in Tiffin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 23, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.