Organization Active NPI

Conlon Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1952852287
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT19702 Issued in FL
Legal business name
CONLON PHYSICAL THERAPY, LLC
Doing business as
Conlon Physical Therapy
Practice address
7545 Centurion Pkwy Ste 104
Jacksonville, FL 32256-4118
Phone
(904) 210-1527
NPI assigned
Oct 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2016

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

Authorized official

Name
Dr. Dennis J Conlon, PT, DPT
Title
Owner/Physical Therapist
Phone
(904) 210-1527

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT19702 FL Primary

Addresses

Primary practice location

7545 Centurion Pkwy Ste 104
Jacksonville, FL 32256-4118

Mailing address

7545 Centurion Pkwy Ste 104
Jacksonville, FL 32256-4118
Phone (904) 210-1527

Other names 1

  • Conlon Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

7545 Centurion Pkwy
Ste 104
Jacksonville, FL 32256
Phone (904) 210-1527

NPI Registry JSON

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1952852287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7545 CENTURION PKWY STE 104",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322564118",
            "telephone_number": "904-210-1527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7545 CENTURION PKWY STE 104",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322564118",
            "telephone_number": "904-210-1527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONLON PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-21",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "CONLON",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "904-210-1527",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT19702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Conlon Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; 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.