R L Conerly, OT
NPI 1174741557 · Physical Therapy Assistant · Ridgeland, MS
Enrolled with Medicare as Practitioner - Occupational Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
R L Conerly, OT is a Physical Therapy Assistant provider in Ridgeland, MS (NPI 1174741557).
Provider details
- NPI number
- 1174741557
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OT
- Sex
- Male
- Sole proprietor
- Yes
- License
- PTA2379 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-04-23
- Last updated
- 2025-09-11
Frequently asked questions
- What is R L Conerly's NPI number?
- R L Conerly's National Provider Identifier (NPI) is 1174741557, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is R L Conerly's specialty?
- R L Conerly is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is R L Conerly located?
- R L Conerly's practice location on file with NPPES is 711 Avignon Dr, Ridgeland, MS 39157-5120.
- What is R L Conerly's phone number?
- The practice phone number listed in the NPPES registry for R L Conerly is (601) 605-6777.
- Does R L Conerly accept Medicare?
- R L Conerly is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is R L Conerly's NPI active?
- Yes — R L Conerly's NPI (1174741557) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.