Thomas William O'Donnell, CPO

Primary specialty

ProsthetistTaxonomy code 224P00000X

License

CPO 1633 Issued in MA

Practice address

150 South Huntington Ave
Boston, MA 02130

Phone

(617) 232-9500

Fax

(857) 364-4537

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043322928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 STOCKHOLM AVE",
            "city": "ROCKPORT",
            "state": "MA",
            "postal_code": "019661276",
            "telephone_number": "978-546-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SOUTH HUNTINGTON AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02130",
            "telephone_number": "617-232-9500",
            "fax_number": "857-364-4537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DONNELL",
        "first_name": "THOMAS",
        "middle_name": "WILLIAM",
        "credential": "CPO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "MA",
            "license": "CPO 1633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORTHOTIST",
            "identifier": "V130213",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROSTHETIST",
            "identifier": "V130214",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine A O'Donnell, M.D.
• Laura Germaine O'Donnell, SLP
• Michael W. O'Donnell, MD
• Seth William O'Donnell, M.D.
• Thomas F O'Donnell, MD
• Walter Joseph O'Donnell, MD
• Mark W O'Donoghue, OD
• Michelle L O'Donoghue, M.D.
• Rory O'Donohoe
• Sarah O'Dor, PHD

• Prosthetist in Boston, MA
• Providers in Boston, MA by specialty
• Prosthetist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.