Individual provider Active NPI

John J O'Sullivan, P.T.

  • Physical Therapist
  • Florence, MA
National Provider Identifier
1346204468
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8731 Issued in MA
Practice address
70 Main St
Florence, MA 01062-1466
Phone
(413) 586-8400
Fax
(866) 644-0872
NPI assigned
Apr 14, 2006
Last updated
Apr 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 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 8731 MA Primary

Addresses

Primary practice location

70 Main St
Florence, MA 01062-1466

Mailing address

70 Main St
Florence, MA 01062-1466
Phone (413) 586-8400

Other practice location 1

238 Northampton St
Easthampton, MA 01027-1046
Phone (413) 529-9300

Other practice location 2

31 Hall Dr
Amherst, MA 01002-2751
Phone (413) 256-8561

Other practice location 3

329 Conway St
Greenfield, MA 01301-1521
Phone (413) 774-6301

Other identifiers 9

IdentifierTypeStateIssuer
470226OtherMATUFTS HEALTH PLAN
626166OtherMAHARVARD PILGRIM HEALTH CA
2329164OtherMAAETNA/US HEALTHCARE
712451OtherMACONNECTICARE
0332071MedicaidMA
650020139OtherMARAILROAD MEDICARE
63862OtherMAFALLON COMMUNITY HEALTH PLAN
Y67777OtherMABLUE CROSS BLUE SHIELD
24189OtherMAHEALTH NEW ENGLAND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121025000341 MA Practitioner - Physical Therapist in Private Practice 6507016649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Medical Group PCGroup PAC ID 2365348851, 106 clinicians

Practice addresses (Care Compare)

329 Conway St
Greenfield, MA 01301-1521
Phone (413) 774-6301

70 Main St
Florence, MA 01062-1466
Phone (413) 585-5472

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8731MAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Medical Group, P.C. Physical Therapist CurrentSince Sep 6, 2000 Accepting new patients
Valley Medical Group, P.C. CurrentSince Sep 6, 2000 Accepting new patients

Locations

31 Hall Dr
Amherst, MA 01002
Phone (413) 256-8561

238 Northampton St
Easthampton, MA 01027
Phone (413) 529-9300

329 Conway St
Greenfield, MA 01301
Phone (413) 774-6301

70 Main St
Northampton, MA 01062
Phone (413) 586-8400

Interoperability endpoints

  • Direct secure messaging: john.j.o.sullivan.1@55.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1346204468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 MAIN ST",
            "city": "FLORENCE",
            "state": "MA",
            "postal_code": "010621466",
            "telephone_number": "413-586-8400",
            "fax_number": "866-644-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 MAIN ST",
            "city": "FLORENCE",
            "state": "MA",
            "postal_code": "010621466",
            "telephone_number": "413-586-8400",
            "fax_number": "866-644-0872"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "238 Northampton St",
            "address_purpose": "LOCATION",
            "city": "Easthampton",
            "state": "MA",
            "postal_code": "010271046",
            "country_code": "US",
            "telephone_number": "413-529-9300",
            "fax_number": "866-644-0870",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31 Hall Dr",
            "address_purpose": "LOCATION",
            "city": "Amherst",
            "state": "MA",
            "postal_code": "010022751",
            "country_code": "US",
            "telephone_number": "413-256-8561",
            "fax_number": "866-644-0869",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "329 Conway St",
            "address_purpose": "LOCATION",
            "city": "Greenfield",
            "state": "MA",
            "postal_code": "013011521",
            "country_code": "US",
            "telephone_number": "413-774-6301",
            "fax_number": "866-644-0871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'SULLIVAN",
        "first_name": "JOHN",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "8731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "470226",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH CA",
            "identifier": "626166",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA/US HEALTHCARE",
            "identifier": "2329164",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "712451",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0332071",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "650020139",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON COMMUNITY HEALTH PLAN",
            "identifier": "63862",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y67777",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NEW ENGLAND",
            "identifier": "24189",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.