Organization Active NPI

Mary C Oconnell PT LLC

  • Pediatric Physical Therapist
  • Tucson, AZ
National Provider Identifier
1184863573
Registry record updated Feb 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
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

Updated by the provider on Feb 9, 2009

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)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.