Patrick John O'Brien, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5864 Issued in AZ

Practice address

16421 N Tatum Blvd
Ste. 201
Phoenix, AZ 85032-3454

Phone

(602) 485-8000

Fax

(602) 485-8010

NPI assigned

Oct 12, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sozo Physical TherapyGroup PAC ID 4284816711, 5 clinicians

Modern Sports Medicine LLCGroup PAC ID 6800228479, 40 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Modern Sports Medicine LLC

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Sun Lakes, AZ
  • NPI 1285295089

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Sozo Physical Therapy

  • Physical Therapy Clinic/Center
  • Chandler, AZ
  • NPI 1083928766
  Medicare reassignment Care Compare group NPD
• Modern Sports Medicine LLC

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Tucson, AZ
  • NPI 1609662709
  NPD

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1104915289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16421 N TATUM BLVD",
            "address_2": "STE. 201",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323454",
            "telephone_number": "602-485-8000",
            "fax_number": "602-485-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16421 N TATUM BLVD",
            "address_2": "STE. 201",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323454",
            "telephone_number": "602-485-8000",
            "fax_number": "602-485-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "PATRICK",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "5864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AZ #",
            "identifier": "AZ0462730",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily O'Brien
• Janet E O'Brien
• Lezley O'Brien, LPN
• Margaret A O'Brien, R.D.
• Nancy Sue O'Brien, RN
• Patrick William O'Brien, PA
• Regina M O'Brien, LPC
• Susan G O'Brien, WHNP
• Whitney Michelle O'Brien, CNM
• Martha Marin O'Bryan, M.S.

• Physical Therapist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.