Active NPI
Chloe Anne Conroy, MS OTR/L
- Pediatric Occupational Therapist
- Santa Rosa, CA
National Provider Identifier
1992070247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT 12230
- Practice address
- 340 Tesconi Cir
Suite C
Santa Rosa, CA 95401-4676 - Phone
- (707) 546-9160
- Fax
- (707) 546-1338
- NPI assigned
- Mar 20, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT 12230 | CA | |
| Pediatric Occupational Therapist | 225XP0200X | OT 12230 | CA | Primary |
Addresses
Primary practice location
340 Tesconi Cir
Suite C
Santa Rosa, CA 95401-4676
Mailing address
340 Tesconi Cir
Suite C
Santa Rosa, CA 95401-4676
Phone (707) 546-9160
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT 12230 | CA | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redwood Pediatric Therapy Associates Inc | Occupational Therapist | Past | Accepting new patients |
| Redwood Pediatric Therapy Associates Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pediatric Physical Therapist
- Santa Rosa, CA
- NPI 1497048979
-
- Occupational Therapist
- Santa Rosa, CA
- NPI 1669610085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332201600000",
"number": "1992070247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 TESCONI CIR",
"address_2": "SUITE C",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954014676",
"telephone_number": "707-546-9160",
"fax_number": "707-546-1338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 TESCONI CIR",
"address_2": "SUITE C",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954014676",
"telephone_number": "707-546-9160",
"fax_number": "707-546-1338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONROY",
"first_name": "CHLOE",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "MS OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-20",
"last_updated": "2012-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT 12230",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "CA",
"license": "OT 12230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.