DR. JAKE CONLY PT, DPT
NPI 1710561915
Physical Therapist in Bossier City, LA
About Dr. Jake Conly Pt, Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JAKE CONLY PT, DPT (NPI 1710561915) is an individual physical therapist in Bossier City, Louisiana, licensed in Louisiana (10888) and active in the NPI registry since May 2021. He is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Jake Conly Pt, Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Jake Conly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Benton, LA 71006
- Reassigned Medicare billing, Louisiana enrollment
- 6 clinicians in this Medicare group
Minden, LA 71055
- Reassigned Medicare billing, Louisiana enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 7
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 71111 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jake Conly's NPI number?
The NPI number for Jake Conly is 1710561915. It was assigned to this individual provider in the NPPES registry on May 12, 2021.
Where is Jake Conly located?
Jake Conly practices at 5510 Airline Dr Ste 104, Bossier City, LA 71111. The listed phone number is (318) 935-9075.
What is Jake Conly's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Jake Conly enrolled in Medicare?
Yes. Jake Conly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jake Conly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jake Conly reassigns Medicare benefits to 2 organizations: Benton Physical Therapy, LLC (Benton, LA) and Minden Physical Therapy LLC (Minden, LA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jake Conly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jake Conly accept?
Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Jake Conly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jake Conly was last updated on May 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Jake Conly, PT, DPT · NPI 1710561915
Physical Therapist provider in Bossier City, Louisiana. Individual provider, active in the CMS NPPES registry since May 12, 2021.
## Identity
- **NPI:** 1710561915 (Entity type: Individual)
- **Enumerated:** May 12, 2021
- **Primary specialty:** Physical Therapist · taxonomy 225100000X
- **State license:** 10888 (Louisiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 5510 AIRLINE DR STE 104, Bossier City, LA 71111-6728
- **Phone:** (318) 935-9075 · **Fax:** (318) 935-9076
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Benton Physical Therapy, LLC (NPI 1972013969, Benton, LA); Minden Physical Therapy LLC (NPI 1982466157, Minden, LA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** May 12, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1710561915) · Data from the CMS NPPES public registry.