Individual provider Active NPI

Sarah-Ruth H Conboy, PT, DPT

  • Physical Therapist
  • Suffolk, VA
National Provider Identifier
1851350813
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305215644 Issued in VA
Practice address
150 Burnetts Way Ste 230
Suffolk, VA 23434-8168
Phone
(757) 942-2022
NPI assigned
Mar 20, 2006
Last updated
Dec 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Physical Therapist 225100000X 2305215644 VA Primary

Addresses

Primary practice location

150 Burnetts Way Ste 230
Suffolk, VA 23434-8168

Mailing address

301 Sycamore Walk
Smithfield, VA 23430-1923
Phone (518) 593-7156

Other identifiers 2

IdentifierTypeStateIssuer
00059792OtherVTBCBS
794158OtherVTMVP

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Sept, LLC Physical Therapist CurrentSince Jun 13, 2024 Accepting new patients
Ivyrehab Sept, LLC Physical Therapist CurrentSince Jun 13, 2024 Accepting new patients
Catalyst Physiotherapy LLC Physical Therapist Past Accepting new patients
Rush-Select Holdings, LLC PastSince Jun 1, 2022 Accepting new patients
Hometown Physical Therapy PLLC Physical Therapist PastSince Jun 21, 2023 Accepting new patients
Back to Action Physical Therapy PLC Physical Therapist Past Accepting new patients
PT 360 Inc Physical Therapist PastSince Nov 22, 2010 Accepting new patients
No Diet Dietitian, LLC Past Accepting new patients
The Rehabgym Inc Physical Therapist PastSince Jun 20, 2005 Accepting new patients

Locations

2275 Beech Ave
Buena Vista, VA 24416
Phone (540) 466-1000

150 Burnetts Way
Ste 230
Suffolk, VA 23434
Phone (757) 942-2022

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1851350813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 SYCAMORE WALK",
            "city": "SMITHFIELD",
            "state": "VA",
            "postal_code": "234301923",
            "telephone_number": "518-593-7156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BURNETTS WAY STE 230",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348168",
            "telephone_number": "757-942-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONBOY",
        "first_name": "SARAH-RUTH",
        "middle_name": "H",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-20",
        "last_updated": "2023-12-01",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305215644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00059792",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "794158",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.