Christopher Stephen O'Donnell, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2701 Issued in AZ

Practice address

3555 W Pinnacle Peak Rd
Glendale, AZ 85310-4338

Phone

(623) 512-6065

Fax

(480) 907-2301

NPI assigned

May 17, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The Pass Program LLC

  • Physical Therapy Clinic/Center
  • Glendale, AZ
  • NPI 1205544707
  NPD
• Harper Physical Therapy Inc

  • Physical Therapist
  • Anthem, AZ
  • NPI 1043380918
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1245282961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3037 W KELLER DR",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850861572",
            "telephone_number": "623-512-6065",
            "fax_number": "480-907-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 W PINNACLE PEAK RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853104338",
            "telephone_number": "623-512-6065",
            "fax_number": "480-907-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DONNELL",
        "first_name": "CHRISTOPHER",
        "middle_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "2701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisabetta G Nyholm-Jensen, D.C.
• Michael Nyholm-Jensen, DC
• Shane James Nylin, MD
• Jessica Nystrom, FNP-C
• Callie O'Connor, MS
• Grace O'Leary, LCSW, MT-BC, CT
• O'Lua Therapy LLC
• Christa L O'Mara, FNP-C
• Mickaela O'Sullivan O'Neill, PA-C
• Oa West Valley Surgical Partners LLC

• Physical Therapist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.