IndividualActive
Kevin Conway, P.T.
NPI 1497787345 · Physical Therapist · Santa Rosa, CA
Provider details
- NPI number
- 1497787345
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- P.T.
- Sex
- Male
- Sole proprietor
- Yes
- License
- PT9560 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(91/100 index)
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
521-525 College Ave.
111
Santa Rosa, CA 95404-4131
Phone: (707) 568-0111
Fax: (707) 568-6805
Street-level locationGet directions
Mailing address
521-525 College Avenue Suite 111
Santa Rosa, CA 95404-4131
Registry dates
- Enumerated
- 2006-07-07
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.