Andre Conn, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

302883 Issued in CA

Practice address

11701 Wilshire Blvd Ste 14B
Los Angeles, CA 90025-1547

Phone

(323) 936-7525

NPI assigned

Oct 3, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• California Luna Care Physical Therapy PC

  • Physical Therapist
  • Los Gatos, CA
  • NPI 1689162166

  Orthopedic

  Medicare reassignment NPD
• Sportsfit Physical Therapy Corporation

  • Orthopedic Physical Therapist
  • Santa Monica, CA
  • NPI 1558615492
  Medicare reassignment NPD
• Body Rehab Center

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1215153747
  NPD (past)

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1972227999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 N EDGEMONT ST APT 22",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11701 WILSHIRE BLVD STE 14B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251547",
            "telephone_number": "323-936-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONN",
        "first_name": "ANDRE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "302883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiara Conley
• Kyndell Monet Conley, LCSW
• Lauren Jean Conley
• Tavien Conley
• Wendy Anne Conlon, MS
• Brad Ellis Conn, M.A.
• Bridgid Mariko Conn, PH.D.
• Jody Conn
• James Robert Connard, MSN, RN, CPNP-AC
• Connect Hearing, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.