Conquer Wellness Physical Therapy Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

CONQUER WELLNESS PHYSICAL THERAPY INC

Practice address

10390 Santa Monica Blvd Ste 220
Los Angeles, CA 90025-6960

Phone

(310) 801-7746

NPI assigned

Sep 6, 2022

Organization subpart

No

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

Authorized official

Name

Aaron ParkNPI 1265102313

Title

President

Phone

(310) 801-7746

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aaron Park, DPT

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1265102313
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662422400000",
    "number": "1962123166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 N LARCHMONT BLVD # 231",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900043011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10390 SANTA MONICA BLVD STE 220",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256960",
            "telephone_number": "310-801-7746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONQUER WELLNESS PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-801-7746"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Francis Connor, RN
• Connors Psychology Professional Corporation
• Prusha Paktinat Connors, PA-C
• Matthew Ellis Conolly, MD
• Conquer Recovery Centers, Inc.
• Alexis Conrad, M.A., LMFT
• Aliese Conrad
• Ava Conrad
• Andrea Conrado
• Reghan Conrey

• Physical Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.