Robert E. O'Brien, R.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT3352 Issued in MS

Practice address

702 Highway 82 W
B
Greenwood, MS 38930-5069

Phone

(662) 455-5010

Fax

(662) 455-5468

NPI assigned

Oct 4, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Advanced Rehabilitation, LLC

  • Physical Therapist
  • Greenwood, MS
  • NPI 1164419222
  NPD (past)

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186704000000",
    "number": "1629065693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 HIGHWAY 82 W",
            "address_2": "B",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389305069",
            "telephone_number": "662-455-5010",
            "fax_number": "662-455-5468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 HIGHWAY 82 W",
            "address_2": "B",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389305069",
            "telephone_number": "662-455-5010",
            "fax_number": "662-455-5468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "ROBERT",
        "middle_name": "E.",
        "name_prefix": "Mr.",
        "credential": "R.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2007-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT3352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07439067",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Sunflower Medical Center
• North Sunflower Medical Center
• North Sunflower Medical Center
• NW Mississippi Specialty Clinic
• Elizabeth A. O'Brien, OTR/L
• Fortune Ojeah
• Optimum Occupational Therapy Services, LLC
• Janice Outlaw, LPM
• Elizabeth Julyn Overstreet, NP-C
• Pain Treatment Centers of America PLLC

• Physical Therapist in Greenwood, MS
• Providers in Greenwood, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2007; 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.