Timothy O'Connor, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P20932 Issued in NC

Practice address

412 W Palmer St
Charlotte, NC 28203-4042

Phone

(980) 987-7885

Fax

(949) 655-8592

NPI assigned

Mar 1, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bull City Physical TherapyGroup PAC ID 8022438563, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bull City Physical Therapy

  • Physical Medicine & Rehabilitation Physician
  • Durham, NC
  • NPI 1235749060

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Acupuncture and Chiropractic Care Center Inc.

  • Chiropractor
  • Durham, NC
  • NPI 1740760248
  NPD
• Paramus Orthopedic Physical Therapy

  • Preferred Provider Organization
  • Paramus, NJ
  • NPI 1588114680
  NPD (past)
• Wayne Foot and Ankle Center,PA

  • Foot & Ankle Surgery Podiatrist
  • Wayne, NJ
  • NPI 1669519047
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1023575636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5644 STRAWBERRY HILL DR APT C",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282114558",
            "telephone_number": "973-668-6942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 W PALMER ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282034042",
            "telephone_number": "980-987-7885",
            "fax_number": "949-655-8592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "TIMOTHY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-01",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P20932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Thomas O'Connor, PA-C
• Lindsey Bailey O'Connor, FNP
• Maeve E O'Connor, MD
• Melissa Elizabeth O'Connor, PA-C
• Rena Arlene O'Connor, PA-C
• William Charles O'Connor Jr., PA
• Kaela Marie O'Donnell, LCSWA
• Kelly O'Donnell
• Crystal Dawn O'Gorman, LMFT
• Natasha Folda O'Gorman, PA

• Physical Therapist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.