Michelle Kondracki Oconnor PT

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MICHELLE KONDRACKI OCONNOR PT

Doing business as

Beyond PT

Practice address

4609 Pinecrest Office Park Dr Ste B
Alexandria, VA 22312-1442

Phone

(703) 718-6386

NPI assigned

Aug 13, 2024

Organization subpart

No

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

Authorized official

Name

Michelle O'Connor, MPTNPI 1275372690

Title

Owner/ Physical Therapist

Phone

(609) 828-6104

Specialties & licenses 1

Addresses

Other names 1

• Beyond PT Doing business as

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michelle O'Connor, MPT

  • Physical Therapist
  • Alexandria, VA
  • NPI 1275372690

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725840000000",
    "number": "1376374975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 17TH ST N",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222072308",
            "telephone_number": "609-828-6104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4609 PINECREST OFFICE PARK DR STE B",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223121442",
            "telephone_number": "703-718-6386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE KONDRACKI OCONNOR PT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/ PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "609-828-6104",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beyond PT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beyond PT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katherine Michaels, BCBA
• Sam Ross Michaels
• Melannieann Michaud, LCSW
• Mary Jay Michel, M.S., L.M.F.T.
• Sandra Jean Michell, PT
• Aristides John Michos, M.D.
• Pamela Mickey
• Mid Atlantic Medical Management , LLC
• Mid Atlantic Pain Management, LLC
• Mid Atlantic Pain Management, LLC

• Physical Therapy Clinic/Center in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Physical Therapy Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.