Active NPI
Maria Da Conceicao O'Shea, PT
- Physical Therapist
- Suffern, NY
National Provider Identifier
1609948355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 023818
- Practice address
- 2 Executive Blvd
Ste 204a
Suffern, NY 10901 - Phone
- (845) 357-5686
- Fax
- (845) 357-3897
- NPI assigned
- Nov 15, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA00525700 | NJ | |
| Physical Therapist | 225100000X | 023818 | NY | Primary |
Addresses
Primary practice location
2 Executive Blvd
Ste 204a
Suffern, NY 10901
Mailing address
215 Pineview Ave
Bardonia, NY 10954
Phone (845) 624-0864
Other names 1
- Ms. Maria Da Conceicao O' Shea
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CT
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2 Ivy Brook Rd
Suite 230
Shelton, CT 06484-6416
Phone (203) 373-0551
36 S Route 9W
Suite 2
West Haverstraw, NY 10993-1049
Phone (845) 579-5677
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023818 | NY | MD | Clinical Psychologist |
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
- Harrison, NY
- NPI 1396799409
-
- Physical Therapy Clinic/Center
- Pawcatuck, CT
- NPI 1033773759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373414400000",
"number": "1609948355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 PINEVIEW AVE",
"city": "BARDONIA",
"state": "NY",
"postal_code": "10954",
"telephone_number": "845-624-0864",
"fax_number": "845-357-3897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 EXECUTIVE BLVD",
"address_2": "STE 204A",
"city": "SUFFERN",
"state": "NY",
"postal_code": "10901",
"telephone_number": "845-357-5686",
"fax_number": "845-357-3897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'SHEA",
"first_name": "MARIA",
"middle_name": "DA CONCEICAO",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2013-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA00525700",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "023818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARIA",
"last_name": "O' SHEA",
"middle_name": "DA CONCEICAO",
"prefix": "MS.",
"credential": "PT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Suffern, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; 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.