Individual provider Active NPI

Jennifer O'Hare

  • Physical Therapist
  • Laurel, MD
National Provider Identifier
1568549079
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
20242 Issued in MD
Practice address
14504 Greenview Dr Ste 106
Laurel, MD 20708-4224
Phone
(301) 776-3665
Fax
(301) 776-6669
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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 20242 MD Primary

Addresses

Primary practice location

14504 Greenview Dr Ste 106
Laurel, MD 20708-4224

Mailing address

14504 Greenview Dr Ste 106
Laurel, MD 20708-4224
Phone (301) 776-3665

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230815001141 DE Practitioner - Physical Therapist in Private Practice 6608788179 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Syracuse Physical Therapy PartnersGroup PAC ID 6103910948, 14 clinicians

Practice addresses (Care Compare)

38069 Town Ctr Dr
Unit 15
Millville, DE 19967-6728
Phone (302) 539-3110

Merit-based Incentive Payment System (MIPS)

Final score
82.19 of 100Reported as group
Quality
83.93
Improvement activities
40
Cost
70.09

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20242MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Konlian,O'Neill & Associates, P.a. Physical Therapist CurrentSince May 16, 2024 Accepting new patients
Syracuse Physical Therapy Partners Physical Therapist CurrentSince Sep 11, 2023 Accepting new patients
Konlian,O'Neill & Associates, P.a. Physical Therapist CurrentSince May 16, 2024 Accepting new patients

Locations

34434 King Street Row
Ste 1
Lewes, DE 19958
Phone (302) 200-9920

20684 John J Williams Hwy
Lewes, DE 19958
Phone (302) 827-6040

20684 John J Williams Hwy
Ste 2
Lewes, DE 19958
Phone (302) 945-0200

26744 John J Williams Hwy
Millsboro, DE 19966
Phone (302) 945-4250

26744 John J Williams Hwy
Unit 6
Millsboro, DE 19966
Phone (302) 945-4250

38069 Town Center Dr
Unit 15
Millville, DE 19967
Phone (302) 539-3110

659 S Salisbury Blvd
Ste 1B
Salisbury, MD 21801
Phone (410) 831-3226

Organizations & group practices 3

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1568549079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14504 GREENVIEW DR STE 106",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207084224",
            "telephone_number": "301-776-3665",
            "fax_number": "301-776-6669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14504 GREENVIEW DR STE 106",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207084224",
            "telephone_number": "301-776-3665",
            "fax_number": "301-776-6669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'HARE",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "20242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.