Patrick D. O'Connor, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-011768-L Issued in PA

Practice address

203 E Baltimore Ave
Suite #2
Media, PA 19063-3433

Phone

(610) 565-0670

Fax

(610) 565-7706

NPI assigned

Feb 2, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Pain Relief and Physical Therapy, Inc.

  • Physical Therapist
  • Havertown, PA
  • NPI 1649234923
  NPD (past)
• Restoration Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Media, PA
  • NPI 1174826184

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204070400000",
    "number": "1376681932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 COLONIAL PARK DR",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190643338",
            "telephone_number": "610-544-4748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 E BALTIMORE AVE",
            "address_2": "SUITE #2",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190633433",
            "telephone_number": "610-565-0670",
            "fax_number": "610-565-7706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "PATRICK",
        "middle_name": "D.",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2008-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT-011768-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PIN",
            "identifier": "132405",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cara O'Brien, MD
• Erin O'Brien, LPC
• Susan Lee O'Brien, MSW LCSW RN
• Thomas O'Brien, D.C
• Danielle O'Connell, OTD, OTR/L
• William M O'Connor, MD
• Mary Theresa O'Donovan, CERTIFIED RECOVERY
• Katherine O'Keefe
• Suzanne T O'Leary, CRNP
• Melissa Christne O'Neill, M.S,, LPC

• Physical Therapist in Media, PA
• Providers in Media, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.