Individual provider Active NPI

Macauley O'Connor, PT, DPT

  • Physical Therapist
  • Denver, CO
National Provider Identifier
1255933529
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19500 Issued in CO
Practice address
1601 E 19TH Ave Ste 4550
Denver, CO 80218-1254
Phone
(303) 830-0018
Fax
(303) 830-3957
NPI assigned
Nov 12, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 19500 CO Primary

Addresses

Primary practice location

1601 E 19TH Ave Ste 4550
Denver, CO 80218-1254

Mailing address

1601 E 19TH Ave Ste 4550
Denver, CO 80218-1254
Phone (303) 830-0018

Other practice location 1

630 3rd Ave
New York, NY 10017-6705
Phone (646) 829-2290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201202000154 NY Practitioner - Physical Therapist in Private Practice 5193136877 Reassigns benefits to 1 organization
I20240401001090 CO Practitioner - Physical Therapist in Private Practice 5193136877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.68 of 100Reported as group
Quality
96.09
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19500COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Panorama Orthopedics & Spine Center, PC CurrentSince Mar 18, 2024 Accepting new patients
Panorama Orthopedics and Spine Center PC Current Accepting new patients
Panorama Orthopedics & Spine Center, PC CurrentSince Mar 18, 2024 Accepting new patients
Spear Physical and Occupational Therapy, LLC Physical Therapist CurrentSince Sep 10, 2021 Accepting new patients
Profitness Physical Therapy PastSince Nov 1, 2020 Accepting new patients

Locations

1601 E 19th Ave
Ste 4550
Denver, CO 80218
Phone (303) 830-0018

660 Golden Ridge Rd
Ste 250
Golden, CO 80401
Phone (303) 274-7321

120 E 56th St
Rm 1010
New York, NY 10022
Phone (646) 790-7466

31 E 32nd St
Fl 4
New York, NY 10016
Phone (646) 973-5427

630 3rd Ave
New York, NY 10017
Phone (212) 682-3191

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1255933529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 E 19TH AVE STE 4550",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181254",
            "telephone_number": "303-830-0018",
            "fax_number": "303-830-3957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E 19TH AVE STE 4550",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181254",
            "telephone_number": "303-830-0018",
            "fax_number": "303-830-3957"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "630 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100176705",
            "country_code": "US",
            "telephone_number": "646-829-2290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "MACAULEY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-12",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "19500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.

Verify at the official NPI Registry.