Active NPI
Michael Thomas Oconnor, PT
- Physical Therapist
- Phoenix, AZ
National Provider Identifier
1023063351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6174
- Practice address
- 6245 N 24TH Pkwy
Phoenix, AZ 85016-2029 - Phone
- (602) 997-7844
- Fax
- (602) 997-8020
- NPI assigned
- May 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6174 | AZ | Primary |
Addresses
Primary practice location
6245 N 24TH Pkwy
Phoenix, AZ 85016-2029
Mailing address
2001 E Vista Ave
Phoenix, AZ 85020-4735
Phone (602) 265-8480
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6174 | AZ | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1023063351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 E VISTA AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850204735",
"telephone_number": "602-265-8480",
"fax_number": "602-997-8020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6245 N 24TH PKWY",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850162029",
"telephone_number": "602-997-7844",
"fax_number": "602-997-8020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OCONNOR",
"first_name": "MICHAEL",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-24",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "6174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.