Individual provider Active NPI

Shaina O'Brien, DPT

  • Physical Therapist
  • Seneca, PA
National Provider Identifier
1497248124
Registry record updated Jun 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT024609 Issued in PA
Practice address
3233 State Route 257 Ste 3
Seneca, PA 16346-2439
Phone
(814) 493-8631
Fax
(814) 493-8629
NPI assigned
Jun 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2018

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 PT024609 PA Primary

Addresses

Primary practice location

3233 State Route 257 Ste 3
Seneca, PA 16346-2439

Mailing address

571 Pone LN
Franklin, PA 16323-3553
Phone (814) 437-6191

Other practice location 1

571 Pone Ln
Franklin, PA 16323-3553
Phone (814) 437-6197

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180709000560 PA Practitioner - Physical Therapist in Private Practice 3274889183 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
West Park Rehab LLC Physical Therapist CurrentSince Jun 11, 2018 Accepting new patients

Locations

3233 State Route 257
Ste 3
Seneca, PA 16346
Phone (814) 493-8631

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1497248124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 PONE LN",
            "city": "FRANKLIN",
            "state": "PA",
            "postal_code": "163233553",
            "telephone_number": "814-437-6191",
            "fax_number": "814-437-6197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3233 STATE ROUTE 257 STE 3",
            "city": "SENECA",
            "state": "PA",
            "postal_code": "163462439",
            "telephone_number": "814-493-8631",
            "fax_number": "814-493-8629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "571 Pone Ln",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "PA",
            "postal_code": "163233553",
            "country_code": "US",
            "telephone_number": "814-437-6197",
            "fax_number": "814-437-6197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "SHAINA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-07",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT024609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seneca, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; 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.