Active NPI
Kathleen M. Oneill, DPT
- Physical Therapist
- Tuba City, AZ
National Provider Identifier
1649312687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8058
- Practice address
- 3008 East Birch Avenue
Tuba City, AZ 86045-0600 - Phone
- (928) 283-2659
- Fax
- (928) 283-2197
- NPI assigned
- Feb 13, 2007
- 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 | 004249 | CT | |
| Physical Therapist | 225100000X | 8058 | MA | Primary |
Addresses
Primary practice location
3008 East Birch Avenue
Tuba City, AZ 86045-0600
Mailing address
PO Box 3398
Tuba City, AZ 86045-3398
Phone (928) 283-2659
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 524779 | Medicaid | AZ |
Other names 1
- Kathleen M. O'Neill-Manrique
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 77.59 of 100
- Quality
- 47.51
- Promoting interoperability
- 69
- Improvement activities
- 40
- Cost
- 86.96
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4249 | CT | MD | General Practice Dentistry |
| 4249 | MA | MD | Occupational Therapist |
| 8058 | MA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tuba City Regional Health Care Corporation | Current | Accepting new patients | |
| Tuba City Regional Health Care Corporation | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Past | Accepting new patients | |
| Bristol Bay Area Health Corporation | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Tuba City, AZ
- NPI 1548294424
TX
-
- Family Medicine Physician
- Bodaway Gap, AZ
- NPI 1710519913
-
- Clinic/Center
- Togiak, AK
- NPI 1093877680
-
- Clinic/Center
- Manokotak, AK
- NPI 1740340991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295481600000",
"number": "1649312687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3398",
"city": "TUBA CITY",
"state": "AZ",
"postal_code": "860453398",
"telephone_number": "928-283-2659",
"fax_number": "928-283-2197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3008 EAST BIRCH AVENUE",
"city": "TUBA CITY",
"state": "AZ",
"postal_code": "860450600",
"telephone_number": "928-283-2659",
"fax_number": "928-283-2197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ONEILL",
"first_name": "KATHLEEN",
"middle_name": "M.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-13",
"last_updated": "2011-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "004249",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "8058",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "524779",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATHLEEN",
"last_name": "O'NEILL-MANRIQUE",
"middle_name": "M.",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tuba City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; 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.