Individual provider Active NPI

Theodore James O'Brien

  • Physical Therapist
  • New York, NY
National Provider Identifier
1538841309
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
815 2ND Ave RM 701
New York, NY 10017-4500
Phone
(212) 499-0848
NPI assigned
Aug 2, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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 Primary

Addresses

Primary practice location

815 2ND Ave RM 701
New York, NY 10017-4500

Mailing address

815 2ND Ave RM 701
New York, NY 10017-4500
Phone (212) 499-0848

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230920002404 NY Practitioner - Physical Therapist in Private Practice 7012361330 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Handd Dynamic Physical and Occupational Therapy, PLLCGroup PAC ID 7416132634, 45 clinicians

Practice addresses (Care Compare)

62 E 88TH St
Lowr Level
New York, NY 10128-1151
Phone (212) 988-2501

815 2ND Ave
RM 701
New York, NY 10017-4500
Phone (212) 499-0848

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
H&D Dynamic Physical & Occupational Therapy, PLLC Physical Therapist CurrentSince Oct 16, 2023 Accepting new patients
H&D Physical Therapy & Occupational Therapy PLLC Physical Therapist CurrentSince Aug 14, 2023 Accepting new patients

Locations

62 E 88th St
Lowr
New York, NY 10128
Phone (212) 369-9200

815 2nd Ave
Rm 701
New York, NY 10017
Phone (646) 656-0156

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.

NPI Registry JSON

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1538841309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 2ND AVE RM 701",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100174500",
            "telephone_number": "212-499-0848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 2ND AVE RM 701",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100174500",
            "telephone_number": "212-499-0848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "THEODORE",
        "middle_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.