Paula O'Connor, PT
Individual provider Active NPI Physical Therapist · Topeka, KS
NPI 1215050877 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1215050877
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 11-03418 (KS)
- Practice address
- 3715 SW 29TH St Ste 100
Topeka, KS 66614-2164 - Phone
- (785) 354-0767
- Fax
- (785) 354-9582
- NPI assigned
- Apr 9, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11-03418 | KS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caregivers, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11-03418 | KS | Yes |
Addresses
Primary practice location
3715 SW 29TH St Ste 100
Topeka, KS 66614-2164
Mailing address
702 Maine St
Lawrence, KS 66044-2342
Phone (785) 766-3013
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11-03418 | Other | KS | PT LICENSE |
NPI Registry JSON
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215050877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 MAINE ST",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660442342",
"telephone_number": "785-766-3013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3715 SW 29TH ST STE 100",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666142164",
"telephone_number": "785-354-0767",
"fax_number": "785-354-9582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'CONNOR",
"first_name": "PAULA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "11-03418",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE",
"identifier": "11-03418",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Topeka, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.