Individual provider Active NPI

Brendanne Oneil

  • Physical Therapy Assistant
  • Springfield, MA
National Provider Identifier
1265841381
Registry record updated Aug 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
1491 Issued in CT
Practice address
202 Almira Rd
Springfield, MA 01119-1404
Phone
(413) 386-3674
NPI assigned
Aug 4, 2014
Last updated
Aug 4, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 1491 CT Primary
Physical Therapy Assistant 225200000X 8942 MA

Addresses

Primary practice location

202 Almira Rd
Springfield, MA 01119-1404

Mailing address

202 Almira Rd
Springfield, MA 01119-1404
Phone (413) 386-3674

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1491CTMDBehavioral Analyst
8942MAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407110400000",
    "number": "1265841381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 ALMIRA RD",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011191404",
            "telephone_number": "413-386-3674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 ALMIRA RD",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011191404",
            "telephone_number": "413-386-3674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONEIL",
        "first_name": "BRENDANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-04",
        "last_updated": "2014-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CT",
            "license": "1491",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MA",
            "license": "8942",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; 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.