Donna M O'Sullivan, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

4080 Issued in MA

Practice address

125 Broad St
Weymouth, MA 02188-2336

Phone

(781) 337-3121

NPI assigned

Mar 20, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407971443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 BARRY RD",
            "city": "ABINGTON",
            "state": "MA",
            "postal_code": "023511613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 BROAD ST",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021882336",
            "telephone_number": "781-337-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'SULLIVAN",
        "first_name": "DONNA",
        "middle_name": "M",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MA",
            "license": "4080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Patrick O'Connor Jr., M.D.
• Michael Christopher O'Gorman, M.D.
• Cara O'Keefe, LICSW
• Raymond William O'Keefe, RAYMOND O'KEEFE
• Robert Joseph O'Leary Jr., D.P.M.
• Philip T O'Sullivan, M.D.
• Erin Oakley
• Elizabeth Obrien, MD
• Melody Obrien
• Faruk Obut, M.D.

• Physical Therapy Assistant in Weymouth, MA
• Providers in Weymouth, MA by specialty
• Physical Therapy Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.