Edward J O Mara III, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT011430L Issued in PA

Practice address

992 Old Eage School Rd
Suite 919
Wayne, PA 19087

Phone

(610) 687-2776

Fax

(610) 687-2779

NPI assigned

Nov 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Mr. Brady O Mara Other name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Seven Summits Therapy & Fitness LLC

  dba Seven Summits Physical Therapy

  • Physical Therapist
  • Wayne, PA
  • NPI 1427113943
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669549366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "947 IVYCROFT RD",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "19087",
            "telephone_number": "484-432-8654",
            "fax_number": "610-687-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "992 OLD EAGE SCHOOL RD",
            "address_2": "SUITE 919",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "19087",
            "telephone_number": "610-687-2776",
            "fax_number": "610-687-2779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O MARA",
        "first_name": "EDWARD",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT011430L",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "DAPT0011118",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "0758283000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMK",
            "identifier": "976930",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRADY",
            "last_name": "O MARA",
            "prefix": "MR.",
            "credential": "MSPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Neuroanalytics LLC
• Isabelle Thi Nguyen, PHARMD, BCPS, CGP
• Rachel Nguyen
• NJC Consulting, LLC
• Patricia Elizabeth Nunez-Strid
• Alexandra Marie O'Brien, OT
• Molly O'Brien, M.S., CCC-SLP
• Colleen R O'Keefe, BCBA
• Lindsey O'Neill
• Aaron Oquendo

• Physical Therapist in Wayne, PA
• Providers in Wayne, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.