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

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
11-03418KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Caregivers, Inc. Past
since Jan 14, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
11-03418OtherKSPT LICENSE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "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

All providers in Topeka, KS · Physical Therapist in Kansas

Sources for this page

Verify at the official NPI Registry.