Active NPI
Jennifer L O'Brien, PT
- Physical Therapist
- Bensalem, PA
National Provider Identifier
1194834382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTO-13897L
- Practice address
- 2966 Street Rd
Bensalem, PA 19020-2604 - Phone
- (215) 639-2639
- Fax
- (215) 929-2464
- NPI assigned
- Aug 30, 2006
- Last updated
- Feb 18, 2010
- 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 | PTO-13897L | PA | Primary |
Addresses
Primary practice location
2966 Street Rd
Bensalem, PA 19020-2604
Mailing address
2 W 10TH St
Marcus Hook, PA 19061-4513
Phone (610) 859-8850
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001123138 | Other | PA | HIGHMARK PABS |
| 0057629000 | Other | PA | IBC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
125 W Indiantown Rd
Suite 104
Jupiter, FL 33458-3539
Phone (561) 745-8909
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTO-13897L | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physiocare Inc | Current | Accepting new patients | |
| Dynamic Therapy Services, LLC | Physical Therapist | Past | Accepting new patients |
| Dynamic Therapy Services of Pennsylvania LLC | Physical Therapist | Past | Accepting new patients |
Locations
125 W Indiantown Rd
Ste 104
Jupiter, FL 33458
Phone (561) 745-8909
Organizations & group practices 3
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.
-
- Physical Therapy Clinic/Center
- Jupiter, FL
- NPI 1396753026
-
dba Dynamic Physical Therapy
- Physical Therapist
- Aston, PA
- NPI 1346477981
-
- Occupational Therapist
- Rehoboth Beach, DE
- NPI 1225637051
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266451200000",
"number": "1194834382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 W 10TH ST",
"city": "MARCUS HOOK",
"state": "PA",
"postal_code": "190614513",
"telephone_number": "610-859-8850",
"fax_number": "610-859-7876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2966 STREET RD",
"city": "BENSALEM",
"state": "PA",
"postal_code": "190202604",
"telephone_number": "215-639-2639",
"fax_number": "215-929-2464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'BRIEN",
"first_name": "JENNIFER",
"middle_name": "L",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2010-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PTO-13897L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK PABS",
"identifier": "001123138",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBC",
"identifier": "0057629000",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bensalem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.