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

Eric Conrad, PTA

Individual provider Physical Therapy Assistant · NPI 1770024648

Eric Conrad, PTA is a Physical Therapy Assistant in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2017.

Licensed in
PA
In the registry since
2017
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

4221 Boone St Apt 2
Philadelphia, PA 19128-5002
Phone: (570) 295-8193
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence TEI004658 (PA)

Record details

NPI number1770024648
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedMarch 13, 2017
Last updated in NPPESMarch 13, 2017
Mailing address4221 Boone St Apt 2, Philadelphia, PA 19128-5002

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