Organization Active NPI

Jamie Oconnor PT

  • Physical Therapist
  • Altadena, CA
National Provider Identifier
1033835137
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
JAMIE OCONNOR PT
Practice address
239 W Mariposa St
Altadena, CA 91001-4721
Phone
(818) 397-6805
NPI assigned
Oct 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Authorized official

Name
Ms. Jamie A O'Connor, PT, DPTNPI 1417499583
Title
Owner
Phone
(818) 397-6805

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

239 W Mariposa St
Altadena, CA 91001-4721

Mailing address

239 W Mariposa St
Altadena, CA 91001-4721
Phone (818) 397-6805

Other identifiers 2

IdentifierTypeStateIssuer
1417499583MedicaidCA
292298OtherCAPHYSICAL THERAPY BOARD OF CALIFORNIA

Other names 1

  • Jamie O'Connor, PT Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240328000543 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3577900398 Receives reassigned benefits from 1 practitioner
Practice locations: Altadena, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774569600000",
    "number": "1033835137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 W MARIPOSA ST",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910014721",
            "telephone_number": "818-397-6805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 W MARIPOSA ST",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910014721",
            "telephone_number": "818-397-6805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMIE OCONNOR PT",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-19",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-397-6805",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417499583",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY BOARD OF CALIFORNIA",
            "identifier": "292298",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jamie O'Connor, PT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Altadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.