Susan Conley is a Physical Therapist in Peoria, Illinois. Susan Conley practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Susan Conley is 1417076506. The last update date is 2012-01-13.
Susan Conley's current location address is 900 Main St, Peoria, Illinois. You can contact this provider via phone number 3096724568 and fax number 3096724569. The mailing address for Susan Conley is 900 Main St, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Conley |
|---|---|
| Address | 900 Main St, Peoria, Illinois |
| Phone Number | 3096724568 |
| Fax Number | 3096724569 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1417076506 |
|---|---|
| Provider Enumeration Date | 2007-03-28 |
| Last Updated Date | 2012-01-13 |
Provider Mailing Address Detail
| Address | 900 Main St |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616021005 |
| Phone Number | 3096724568 |
| Fax Number | 3096724569 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 070-003842 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00987252 | IL | RR MEDICARE | |
| 537460030 | IL | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique provider identifier assigned to Susan Conley?
The Susan Conley has been issued the NPI (National Provider Identifier) 1417076506 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Susan Conley located?
The Susan Conley is located at 900 Main St, Peoria, IL 616021005.
What is the Susan Conley's specialty and taxonomy code?
The Susan Conley's specialty is Physical Therapist, and the corresponding taxonomy code is 225100000X.
When did Susan Conley receive its 1417076506 assignment?
The Susan Conley was assigned its 1417076506 on 2007-03-28, which is the date when this unique identifier was issued to the organization.
When was the information regarding Susan Conley most recently updated?
The details pertaining to the Susan Conley, including its address, specialty, and other relevant information, were last refreshed on 2012-01-13.