Active NPI
Thomas O'Sullivan, DPT, ATC
- Physical Therapist
- Chandler, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- CP030320T
- Practice address
- 655 S Dobson Rd
Chandler, AZ 85224-5667 - Phone
- (480) 732-0099
- NPI assigned
- Aug 9, 2021
- Last updated
- Sep 22, 2024
- Sex
- Male
- 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 | 40QA02026700 | NJ | |
| Physical Therapist | 225100000X | CP030320T | AZ | Primary |
Addresses
Primary practice location
655 S Dobson Rd
Chandler, AZ 85224-5667
Mailing address
60 Brook St
Berkeley Heights, NJ 07922-1870
Phone (908) 967-8624
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
| License | State | Type | Specialty |
|---|---|---|---|
| CP030320T | AZ | MD | Physical Therapist |
| 40QA02026700 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BHSM Rehabilitation, LLC | Current | Accepting new patients | |
| BHSM Rehabilitation, LLC | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| BHSM Rehabilitation, LLC | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Jag-One Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Multicare Health System | Current | Accepting new patients |
Locations
655 S Dobson Rd
Ste B111
Chandler, AZ 85224
Phone (480) 426-8019
2940 E Banner Gateway Dr
Ste 350
Gilbert, AZ 85234
Phone (480) 462-3880
3507 S Mercy Rd
Ste A
Gilbert, AZ 85297
Phone (480) 926-0404
1309 N Greenfield Rd
Ste 102
Mesa, AZ 85205
Phone (480) 210-1706
1972 E Baseline Rd
Ste 103
Tempe, AZ 85283
Phone (480) 730-0501
6200 S McClintock Dr
Ste 115
Tempe, AZ 85283
Phone (480) 730-0501
909 Cedar Bridge Ave
Brick, NJ 08723
Phone (732) 477-6981
981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511
221 Rockingham Row
Princeton, NJ 08540
Phone (609) 580-1520
622 Eagle Rock Ave
West Orange, NJ 07052
Phone (973) 669-0078
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
19321 Mountain Hwy E
Ste 100
Spanaway, WA 98387
Phone (253) 846-8126
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Banner Physical Therapy
- Physical Therapy Clinic/Center
- Bullhead City, AZ
- NPI 1093681033
-
- Physical Therapy Clinic/Center
- Glendale, AZ
- NPI 1235654237
-
dba Banner Physical Therapy
- Physical Therapy Clinic/Center
- Gilbert, AZ
- NPI 1497271431
-
- Physical Therapist
- West Orange, NJ
- NPI 1518017144
-
dba MultiCare Deaconess Retail Pharmacy
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
dba Multicare Neurological Surgery
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
dba MultiCare Imaging - King
- Diagnostic Radiology Physician
- Covington, WA
- NPI 1578803839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726963200000",
"number": "1649944059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 BROOK ST",
"city": "BERKELEY HEIGHTS",
"state": "NJ",
"postal_code": "079221870",
"telephone_number": "908-967-8624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 S DOBSON RD",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852245667",
"telephone_number": "480-732-0099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'SULLIVAN",
"first_name": "THOMAS",
"credential": "DPT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-09",
"last_updated": "2024-09-22",
"certification_date": "2024-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA02026700",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "CP030320T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.