Individual provider Active NPI

Alyson O'Connor, DPT

  • Physical Therapist
  • Fountain Valley, CA
National Provider Identifier
1124492061
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
42782 Issued in CA
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

Updated by the provider on Aug 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew patients
Dynamik Rehab Inc Physical Therapist CurrentSince Sep 10, 2024 Accepting new patients
Dynamix Physical Therapy Inc. Physical Therapist CurrentSince Apr 14, 2019 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.

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.

Verify at the official NPI Registry.