Active NPI
Linda O Connor, PT
- Physical Therapist
- Gowanda, NY
National Provider Identifier
1245279850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 009615
- Practice address
- 104 Memorial Dr
Gowanda, NY 14070-1111 - Phone
- (716) 532-2258
- Fax
- (716) 532-2321
- NPI assigned
- Jun 6, 2006
- Last updated
- Jul 8, 2007
- 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 | 009615 | NY | Primary |
Addresses
Primary practice location
104 Memorial Dr
Gowanda, NY 14070-1111
Mailing address
104 Memorial Dr
Gowanda, NY 14070-1111
Phone (716) 532-2258
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009615 | NY | MD | Veterinarian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jamestown Area Medical Associates, L.L.P. | Current | Accepting new patients | |
| Tri-County Physical Therapy, PC | Physical Therapist | Past | Accepting new patients |
Locations
31 Sherman St
Ste 2400
Jamestown, NY 14701
Phone (814) 483-5306
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.
-
- Internal Medicine Physician
- Jamestown, NY
- NPI 1730599176
-
- Internal Medicine Physician
- Jamestown, NY
- NPI 1528010766
-
- Physical Therapist
- Gowanda, NY
- NPI 1083660765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245279850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 MEMORIAL DR",
"city": "GOWANDA",
"state": "NY",
"postal_code": "140701111",
"telephone_number": "716-532-2258",
"fax_number": "716-532-2321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 MEMORIAL DR",
"city": "GOWANDA",
"state": "NY",
"postal_code": "140701111",
"telephone_number": "716-532-2258",
"fax_number": "716-532-2321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O CONNOR",
"first_name": "LINDA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "009615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gowanda, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.