Christine Connerley

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

60120433 Issued in WA

Practice address

1250 Idaho St
Lewiston, ID 83501-1965

Phone

(208) 799-5219

NPI assigned

Nov 30, 2017

Last updated

Nov 30, 2017By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512000000000",
    "number": "1841704756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 RICHARDSON AVE",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835015440",
            "telephone_number": "208-790-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 IDAHO ST",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835011965",
            "telephone_number": "208-799-5219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNERLEY",
        "first_name": "CHRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-30",
        "last_updated": "2017-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "1497",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "60120433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Partnerships of Idaho, Inc
• Compcare, Inc (A Compassionate Care, Co.)
• Mary Jane Conder, LCSW
• Confluence Counseling and Education Center, LLC
• Confluence Sleep & Pulmonary LLC
• Lacey Connor, LMSW
• Casey L Cook
• Elizabeth Grace Cooke, BS, BIS, CS
• Christina Cooper, NP
• Erik F Cooper, CNP

• Physical Therapist in Lewiston, ID
• Providers in Lewiston, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2017; 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.