Marion Rose Conway, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

62 031192 Issued in NY

Practice address

1 Rosell Dr Ste 2
Ballston Lake, NY 12019-1431

Phone

(518) 350-4454

Fax

(518) 802-3059

NPI assigned

Jul 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Other names 1

• Marion Rose Meserve Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16096/brand/2/csg/1/fhir/r4

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.

• The Body Workshop Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Ballston Lake, NY
  • NPI 1174122808
  NPD Authorized official
• Physio Logic Medicine, P.C.

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1013293588
  NPD (past)
• Physiologic Chiropractic & Physical Therapy, PLLC.

  • Chiropractor
  • Brooklyn, NY
  • NPI 1225262785

  Physical Therapist

  NPD (past)
• Greenwood Physical Therapy PLLC

  • Physical Therapist
  • Seattle, WA
  • NPI 1982786596
  NPD (past)

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1851591218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120650019",
            "telephone_number": "518-350-4454",
            "fax_number": "518-802-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ROSELL DR STE 2",
            "city": "BALLSTON LAKE",
            "state": "NY",
            "postal_code": "120191431",
            "telephone_number": "518-350-4454",
            "fax_number": "518-802-3059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONWAY",
        "first_name": "MARION",
        "middle_name": "ROSE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-23",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "21965",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60836196",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "8061",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01374600",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "031192",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "62 031192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARION",
            "last_name": "MESERVE",
            "middle_name": "ROSE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Richard Albert Demartino, PSY.D.
• Jenna Elizabeth Desbiens, FNP-BC

• Physical Therapist in Ballston Lake, NY
• Providers in Ballston Lake, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.