Active NPI
Mary Conklu
- Physical Therapist
- Arlington, VA
National Provider Identifier
1891195178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT870
- Practice address
- 818 N Quincy St
#1304
Arlington, VA 22203-2079 - Phone
- (571) 236-4881
- NPI assigned
- Aug 24, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT870 | DC | Primary |
Addresses
Primary practice location
818 N Quincy St
#1304
Arlington, VA 22203-2079
Mailing address
818 N Quincy St
#1304
Arlington, VA 22203-2079
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT870 | DC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408838400000",
"number": "1891195178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "818 N QUINCY ST",
"address_2": "#1304",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222032079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "818 N QUINCY ST",
"address_2": "#1304",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222032079",
"telephone_number": "571-236-4881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONKLU",
"first_name": "MARY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-24",
"last_updated": "2014-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DC",
"license": "PT870",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, VA
- Compassionate Therapy Center, LLC
- Complete Dental Care P.C
- Comprehensive Health and Behavioral Services LLC (Comprehensive Home Health)
- Comprehensive Primary Care and Associates LLC (CloseKnit)
- Comprehensive Sleep Care Center Inc (Comprehensive Sleep Care Center - Arlington)
- Erin Conly
- Connecticut General Life Insurance Company (Cglic)
- Jennifer Joyce Gallucci Connolly, PHD, BCBA-D, LBA
- Jesse Connor, LPCR
- Hawah Yahoh Conteh, OTR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.