Individual provider Active NPI

John Michael O'Brien, DPT

  • Physical Therapist
  • Centennial, CO
National Provider Identifier
1609123405
Registry record updated Sep 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11746 Issued in CO
Practice address
20981 E Smoky Hill Rd
Unit a
Centennial, CO 80015-5188
Phone
(720) 870-8900
Fax
(720) 870-8901
NPI assigned
Aug 10, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2012

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 11746 CO Primary

Addresses

Primary practice location

20981 E Smoky Hill Rd
Unit a
Centennial, CO 80015-5188

Mailing address

20981 E Smoky Hill Rd
Unit a
Centennial, CO 80015-5188
Phone (720) 870-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11746COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital Colorado Current Accepting new patients
Body Image Physical Therapy & Fitness P.C. Physical Therapist PastSince Mar 13, 2022 Accepting new patients
Physio Pro, Inc. Physical Therapist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jobrien97791@direct.childrenscolorado.org

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": "1344556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348531200000",
    "number": "1609123405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20981 E SMOKY HILL RD",
            "address_2": "UNIT A",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800155188",
            "telephone_number": "720-870-8900",
            "fax_number": "720-870-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20981 E SMOKY HILL RD",
            "address_2": "UNIT A",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800155188",
            "telephone_number": "720-870-8900",
            "fax_number": "720-870-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-10",
        "last_updated": "2012-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "11746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.