Organization Active NPI

O'Brien Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1063609477
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
O'BRIEN PHYSICAL THERAPY, PLLC
Practice address
6910 E Chauncey LN
Ste 115
Phoenix, AZ 85054-5160
Phone
(602) 538-6736
NPI assigned
Sep 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2007

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

Authorized official

Name
Dr. Patrick John O'Brien, PT, DPT
Title
Owner-Physical Therapist
Phone
(602) 538-6736

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

6910 E Chauncey LN
Ste 115
Phoenix, AZ 85054-5160

Mailing address

6910 E Chauncey LN
Ste 115
Phoenix, AZ 85054-5160
Phone (602) 538-6736

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1191024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1063609477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6910 E CHAUNCEY LN",
            "address_2": "STE 115",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850545160",
            "telephone_number": "602-538-6736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6910 E CHAUNCEY LN",
            "address_2": "STE 115",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850545160",
            "telephone_number": "602-538-6736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O'BRIEN PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-29",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER-PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "602-538-6736",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "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 Dec 7, 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.