Individual provider Active NPI

Thomas O'Sullivan, DPT, ATC

  • Physical Therapist
  • Chandler, AZ
National Provider Identifier
1649944059
Registry record updated Sep 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP030320T Issued in AZ
Practice address
655 S Dobson Rd
Chandler, AZ 85224-5667
Phone
(480) 732-0099
NPI assigned
Aug 9, 2021
Last updated
Sep 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
CP030320TAZMDPhysical Therapist
40QA02026700NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
BHSM Rehabilitation, LLC CurrentSince Oct 15, 2024 Accepting new patients
BHSM Rehabilitation, LLC CurrentSince Oct 15, 2024 Accepting new patients
Multicare Health System CurrentSince Aug 24, 2023 Accepting new patients
BHSM Rehabilitation, LLC Current Accepting new patients
Multicare Health System Current Accepting new patients
Jag-One Physical Therapy, LLC Physical Therapist CurrentSince Aug 23, 2021 Accepting new patients
Multicare Health System CurrentSince Aug 24, 2023 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.

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.

Verify at the official NPI Registry.