Provider Demographics
NPI:1609276195
Name:CONROY, MATTHEW EDWARD (DPT)
Entity Type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:EDWARD
Last Name:CONROY
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
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Mailing Address - Street 1:5425 JONESTOWN ROAD, STE. 100
Mailing Address - Street 2:OUTPATIENT PHYSICAL THERAPY NETWORK, LLC D/B/A MADDEN P
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17112
Mailing Address - Country:US
Mailing Address - Phone:717-901-9487
Mailing Address - Fax:717-901-9488
Practice Address - Street 1:5425 JONESTOWN ROAD, STE. 100
Practice Address - Street 2:OUTPATIENT PHYSICAL THERAPY NETWORK, LLC D/B/A MADDEN P
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17112
Practice Address - Country:US
Practice Address - Phone:717-901-9487
Practice Address - Fax:717-901-9488
Is Sole Proprietor?:No
Enumeration Date:2014-09-03
Last Update Date:2014-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT023868225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist