Anne Marie O'Sullivan, M.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT27958 Issued in CA

Practice address

325 Rolling Oaks Dr
Suite 250
Thousand Oaks, CA 91361-1201

Phone

(805) 230-2673

Fax

(805) 230-2134

NPI assigned

Mar 28, 2007

Last updated

Jul 9, 2007By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

May accept Medicare assignment

Group practices

Khodabakhshian Chiropractic IncGroup PAC ID 5294824082, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Khodabakhshian Chiropractic Inc

  dba Omega Solutions in Rehabilition

  • Chiropractor
  • Thousand Oaks, CA
  • NPI 1366521106
  Medicare reassignment Care Compare group NPD
• Annette Tamraz Physical Therapy Inc

  dba Flex Motion Physical Therapy

  • Physical Therapy Clinic/Center
  • Glendale, CA
  • NPI 1306140801

  Physical Therapist

  Medicare reassignment NPD
• Moorpark Physical Therapy & Sport Rehab Center

  • Physical Therapist
  • Moorpark, CA
  • NPI 1730111089
  NPD (past)
• Patterson Physical Therapy

  dba Omega Solutions in Rehabilitation

  • Massage Therapist
  • Thousand Oaks, CA
  • NPI 1326117631

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1487773511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 ROLLING OAKS DR",
            "address_2": "SUITE 250",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611201",
            "telephone_number": "805-230-2673",
            "fax_number": "805-230-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 ROLLING OAKS DR",
            "address_2": "SUITE 250",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611201",
            "telephone_number": "805-230-2673",
            "fax_number": "805-230-2134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'SULLIVAN",
        "first_name": "ANNE",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT27958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP ID",
            "identifier": "W17180",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tessa Eileen Nutley
• Hailey O'Brien
• Pamela N/a O'Friel, RD
• Holly Garcia O'Hearn, PH.D.
• Carolann O'Rourke, AUD
• Oak Tree Pediatrics and More, a Medical Corporation
• Oak Tree Surgical Center LLC
• Oaks Eye Center
• Oaks Pharm Inc (West Coast RX Pharmacy Thousand Oaks)
• Oaks Pharmacy LLC (Lynn Oaks Pharmacy)

• Physical Therapist in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.