Active NPI
Connor O'Callaghan, DPT
- Pediatric Physical Therapist
- Shrewsbury, NJ
National Provider Identifier
1538029509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 89026
- Practice address
- 766 Broad St
Shrewsbury, NJ 07702-4203 - Phone
- (855) 428-8246
- Fax
- (855) 428-8246
- NPI assigned
- Nov 13, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 89026 | MA | Primary |
| Physical Therapist | 225100000X | 40QA02413200 | NJ |
Addresses
Primary practice location
766 Broad St
Shrewsbury, NJ 07702-4203
Mailing address
485 Marin Blvd Apt 929
Jersey City, NJ 07302-1794
Phone (631) 404-9984
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
766 Broad St
Shrewsbury, NJ 07702-4203
Phone (855) 428-8246
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA02413200 | NJ | MD | Physical Therapist |
| 89026 | MA | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Easter Seals Massachusetts, Inc. | Current | Accepting new patients |
Locations
18 Chestnut St
Ste 200
Worcester, MA 01608
Phone (508) 757-2756
Organizations & group practices 2
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.
-
- Physical Therapist
- Shrewsbury, NJ
- NPI 1609406438
-
- Rehabilitation Clinic/Center
- Bridgewater, MA
- NPI 1033386842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779148800000",
"number": "1538029509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "485 MARIN BLVD APT 929",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073021794",
"telephone_number": "631-404-9984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "766 BROAD ST",
"city": "SHREWSBURY",
"state": "NJ",
"postal_code": "077024203",
"telephone_number": "855-428-8246",
"fax_number": "855-428-8246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'CALLAGHAN",
"first_name": "CONNOR",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-11-13",
"last_updated": "2026-05-19",
"certification_date": "2026-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "MA",
"license": "89026",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA02413200",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shrewsbury, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; 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.