Active NPI
Mary C Oconnell PT LLC
- Pediatric Physical Therapist
- Tucson, AZ
National Provider Identifier
1184863573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- Legal business name
- MARY C OCONNELL PT LLC
- Practice address
- 1601 N Tucson Blvd
Ste 5-a
Tucson, AZ 85716-3425 - Phone
- (520) 325-3540
- NPI assigned
- Feb 9, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Mary C O'Connell, MC PT
- Title
- Physical Therapist
- Phone
- (520) 325-3540
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | Primary |
Addresses
Primary practice location
1601 N Tucson Blvd
Ste 5-a
Tucson, AZ 85716-3425
Mailing address
1601 N Tucson Blvd
Ste 5-a
Tucson, AZ 85716-3425
Phone (520) 325-3540
National Provider Directory
National Provider DirectoryLocations
1601 N Tucson Blvd
Ste 5A
Tucson, AZ 85716
Phone (520) 325-3540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234137600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1234137600000",
"number": "1184863573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 N TUCSON BLVD",
"address_2": "STE 5-A",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857163425",
"telephone_number": "520-325-3540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 N TUCSON BLVD",
"address_2": "STE 5-A",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857163425",
"telephone_number": "520-325-3540"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARY C OCONNELL PT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-09",
"last_updated": "2009-02-09",
"status": "A",
"authorized_official_last_name": "O'CONNELL",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "520-325-3540",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MC PT"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.