Individual provider Active NPI

James Christian Oconnell, MP.T.

  • Physical Therapist
  • Roanoke, VA
National Provider Identifier
1174629174
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305204574 Issued in VA
Practice address
7226B Williamson Rd
Roanoke, VA 24019-4264
Phone
(540) 725-5300
NPI assigned
Sep 16, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 2305204574 VA Primary

Addresses

Primary practice location

7226B Williamson Rd
Roanoke, VA 24019-4264

Mailing address

PO Box 21604
Roanoke, VA 24018-0162
Phone (540) 725-5300

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

State licenses

LicenseStateTypeSpecialty
025917NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rockland Physical Therapy PLLC Physical Therapist PastSince Feb 1, 2003 Accepting new patients
Spine and Orthopedic Rehab of VA Inc Physical Therapist Past Accepting new patients
Spine and Orthopedic Rehab Inc Physical Therapist Past Accepting new patients
Spine and Orthopedic Rehab of VA Inc Physical Therapist Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174629174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21604",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240180162",
            "telephone_number": "540-725-5300",
            "fax_number": "540-725-5356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7226B WILLIAMSON RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240194264",
            "telephone_number": "540-725-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCONNELL",
        "first_name": "JAMES",
        "middle_name": "CHRISTIAN",
        "credential": "MP.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305204574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • 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.