Cameron Conway, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

121254 Issued in TX

Practice address

2425 E Southlake Blvd
Southlake, TX 76092-6674

Phone

(817) 442-0222

NPI assigned

Oct 29, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Easter Seals North Texas, Inc.

  dba Easterseals Lonestar

  • Community/Behavioral Health Agency
  • Dallas, TX
  • NPI 1396702122
  NPD (past)
• Pediaplex Management Company LLC

  • Speech-Language Pathologist
  • Southlake, TX
  • NPI 1821374687
  NPD (past)

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1871193631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 HEMPHILL ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 E SOUTHLAKE BLVD",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926674",
            "telephone_number": "817-442-0222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4443 N Josey Lane",
            "address_purpose": "LOCATION",
            "city": "Carrolltown",
            "state": "TX",
            "postal_code": "750104677",
            "country_code": "US",
            "telephone_number": "972-394-8900",
            "fax_number": "972-394-6266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONWAY",
        "first_name": "CAMERON",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-29",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "RBT21163645",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "121254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Carrolltown",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4443 N Josey Lane",
            "city": "Carrolltown",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750104677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Compass Christian Counseling Ministries (Compass Counseling)
• Compassion Dermatology, PLLC
• Compassion Neuroscience
• Compassionate Psychiatric Services of Southlake PA (Compassionate Psychiatric Services of Southlake)
• Complete Emergency Care Southlake LLC (Complete Care Southlake)
• Cook Children's Medical Center (Cook Children's Urgent Care Southlake)
• Cook Children's Medical Center (Cook Childrens Urgent Care Southlake)
• Shayne Cook, DPT
• Tosha Gayle Cooper
• Katherine Copeland

• Occupational Therapist in Southlake, TX
• Providers in Southlake, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.