Active NPI
Christopher M O'Connell, PT
- Physical Therapist
- Appleton, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11222-24
- Practice address
- 2105 E Enterprise Ave
Appleton, WI 54913-7862 - Phone
- (920) 991-2561
- Fax
- (920) 991-2563
- NPI assigned
- Jun 19, 2009
- Sex
- Male
- 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 | 11222-24 | WI | Primary |
Addresses
Primary practice location
2105 E Enterprise Ave
Appleton, WI 54913-7862
Mailing address
2105 E Enterprise Ave
Appleton, WI 54913-7862
Phone (920) 991-2561
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2105 E Enterprise Ave
Suite 113
Appleton, WI 54913-7862
Phone (920) 991-2561
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Physical Therapy & Sports Medicine SC | Physical Therapist | Current | Accepting new patients |
| Advanced Physical Therapy & Sports Medicine SC | Physical Therapist | Current | Accepting new patients |
Locations
2105 E Enterprise Ave
Appleton, WI 54913
Phone (920) 560-1000
2105 E Enterprise Ave
Ste 113
Appleton, WI 54913
Phone (920) 560-1083
145 N Commercial St
Ste 100
Neenah, WI 54956
Phone (920) 215-6225
1370 N Shawano St
Ste E
New London, WI 54961
Phone (920) 249-7171
212 E Green Bay St
Shawano, WI 54166
Phone (715) 526-5221
Organizations & group practices 2
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 Medicine & Rehabilitation Physician
- Appleton, WI
- NPI 1407857790
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Grand Chute, WI
- NPI 1538858857
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752192000000",
"number": "1275760951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2105 E ENTERPRISE AVE",
"city": "APPLETON",
"state": "WI",
"postal_code": "549137862",
"telephone_number": "920-991-2561",
"fax_number": "920-991-2563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2105 E ENTERPRISE AVE",
"city": "APPLETON",
"state": "WI",
"postal_code": "549137862",
"telephone_number": "920-991-2561",
"fax_number": "920-991-2563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'CONNELL",
"first_name": "CHRISTOPHER",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-19",
"last_updated": "2025-07-11",
"certification_date": "2025-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "11222-24",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; 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.