Active NPI
Dillon P Connick, DPT
- Physical Therapist
- Jefferson, LA
National Provider Identifier
1972287969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11570
- Practice address
- 2614 Jefferson Hwy
Jefferson, LA 70121-3828 - Phone
- (504) 291-5100
- NPI assigned
- Jun 12, 2023
- Last updated
- Jun 12, 2023
- Sex
- Male
- Sole proprietor
- No
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 | 11570 | LA | Primary |
Addresses
Primary practice location
2614 Jefferson Hwy
Jefferson, LA 70121-3828
Mailing address
3725 Danville St
Metairie, LA 70001-2710
Phone (504) 307-2820
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 |
|---|---|---|---|
| 11570 | LA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686528000000",
"number": "1972287969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3725 DANVILLE ST",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700012710",
"telephone_number": "504-307-2820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2614 JEFFERSON HWY",
"city": "JEFFERSON",
"state": "LA",
"postal_code": "701213828",
"telephone_number": "504-291-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNICK",
"first_name": "DILLON",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-12",
"last_updated": "2023-06-12",
"certification_date": "2023-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "11570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jefferson, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.