Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Christopher Conrad, PT

Individual provider Physical Therapist · NPI 1245775519

Christopher Conrad, PT is a Physical Therapist in Private Practice in Lake Grove, New York. Graduated from New York Medical College in 2016, 10 years ago. Practices with William Joseph Vanvynck Physical Therapy PC, a 2-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
10
Trained at
New York Medical College
Licensed in
NY
In the registry since
2016
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

2848 Middle Country Rd
Lake Grove, NY 11755-1915
Phone: (631) 780-5550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 041186 (NY)

Record details

NPI number1245775519
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedDecember 22, 2016
Last updated in NPPESDecember 22, 2016
Mailing address18 Hamilton Pl, Lake Grove, NY 11755-1915

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolNEW YORK MEDICAL COLLEGE
Graduated 2016 (10 years in practice)
Group practice William Joseph Vanvynck Physical Therapy Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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