Active NPI
Alyson O'Connor, DPT
- Physical Therapist
- Fountain Valley, CA
National Provider Identifier
1124492061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 42782
- Practice address
- 11190 Warner Ave Ste 309
Fountain Valley, CA 92708-4047 - Phone
- (714) 891-2739
- Fax
- (714) 891-2747
- NPI assigned
- Nov 16, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 42782 | CA | Primary |
Addresses
Primary practice location
11190 Warner Ave Ste 309
Fountain Valley, CA 92708-4047
Mailing address
14221 Euclid St Ste F
Garden Grove, CA 92843-4991
Phone (714) 891-2739
Other practice location 1
2777 Bristol St
Ste B
Costa Mesa, CA 92626-5997
Phone (949) 250-1112
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dynamik Rehab Inc | Physical Therapist | Current | Accepting new patients |
| Dynamix Physical Therapy Inc. | Physical Therapist | Current | Accepting new patients |
Locations
11190 Warner Ave
Ste 309
Fountain Valley, CA 92708
Phone (714) 891-2739
14221 Euclid St
Ste F
Garden Grove, CA 92843
Phone (714) 343-4834
Organizations & group practices 2
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.
-
- Physical Therapist
- Garden Grove, CA
- NPI 1720806417
-
- Physical Therapist
- Westminster, CA
- NPI 1538288204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565740800000",
"number": "1124492061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14221 EUCLID ST STE F",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928434991",
"telephone_number": "714-891-2739",
"fax_number": "714-891-2747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11190 WARNER AVE STE 309",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927084047",
"telephone_number": "714-891-2739",
"fax_number": "714-891-2747"
}
],
"practiceLocations": [
{
"address_1": "2777 BRISTOL ST",
"address_2": "STE B",
"address_purpose": "LOCATION",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926265997",
"country_code": "US",
"telephone_number": "949-250-1112",
"fax_number": "949-250-1401",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'CONNOR",
"first_name": "ALYSON",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-16",
"last_updated": "2019-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "42782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.