Active NPI
Kerry O'Neill, PT, MHA
- Physical Therapist
- Plainville, MA
National Provider Identifier
1265728091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9983
- Practice address
- 188 Washington St Unit 3
Plainville, MA 02762-1301 - Phone
- (508) 699-1701
- NPI assigned
- Jun 20, 2011
- 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 | 9983 | MA | Primary |
Addresses
Primary practice location
188 Washington St Unit 3
Plainville, MA 02762-1301
Mailing address
6 Oxbow Dr
Plainville, MA 02762-5075
Phone (774) 254-0087
Other practice location 1
825 Washington St Ste 310
Norwood, MA 02062-3481
Phone (781) 769-8910
Other practice location 2
72 Washington St Ste 1600
Taunton, MA 02780-2430
Phone (508) 880-3460
Other practice location 3
35 Pearl St Ste 200
Brockton, MA 02301-2866
Phone (508) 588-8034
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9983 | MA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excella Healthcare, Inc. | Physical Therapist | Past | Accepting new patients |
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.
-
- Physical Therapist
- Andover, MA
- NPI 1033177720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545091200000",
"number": "1265728091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 OXBOW DR",
"city": "PLAINVILLE",
"state": "MA",
"postal_code": "027625075",
"telephone_number": "774-254-0087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "188 WASHINGTON ST UNIT 3",
"city": "PLAINVILLE",
"state": "MA",
"postal_code": "027621301",
"telephone_number": "508-699-1701"
}
],
"practiceLocations": [
{
"address_1": "825 Washington St Ste 310",
"address_purpose": "LOCATION",
"city": "Norwood",
"state": "MA",
"postal_code": "020623481",
"country_code": "US",
"telephone_number": "781-769-8910",
"fax_number": "781-255-9844",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "72 Washington St Ste 1600",
"address_purpose": "LOCATION",
"city": "Taunton",
"state": "MA",
"postal_code": "027802430",
"country_code": "US",
"telephone_number": "508-880-3460",
"fax_number": "508-880-5335",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "35 Pearl St Ste 200",
"address_purpose": "LOCATION",
"city": "Brockton",
"state": "MA",
"postal_code": "023012866",
"country_code": "US",
"telephone_number": "508-588-8034",
"fax_number": "508-897-0475",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'NEILL",
"first_name": "KERRY",
"name_prefix": "Mrs.",
"credential": "PT, MHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-20",
"last_updated": "2018-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "9983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plainville, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.