Active NPI
Jonathan M O'Connor, DPT
- Physical Therapist
- Munster, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05013599A
- Practice address
- 9200 Calumet Ave
Munster, IN 46321-2885 - Phone
- (708) 236-2600
- NPI assigned
- Aug 2, 2012
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2012017473 | MO | |
| Physical Therapist | 225100000X | 070-026503 | IL | |
| Physical Therapist | 225100000X | 05013599A | IN | Primary |
| Physical Therapist | 225100000X | 2012027758 | MO |
Addresses
Primary practice location
9200 Calumet Ave
Munster, IN 46321-2885
Mailing address
1 Westbrook Corporate Ctr Ste 240
Westchester, IL 60154-5745
Phone (708) 236-2600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, IL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1611 W Harrison St
Suite 107
Chicago, IL 60612-4861
Phone (877) 632-6637
9200 Calumet Ave
Suite N500
Munster, IN 46321-2849
Phone (877) 632-6637
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070-026503 | IL | MD | Physical Therapist |
| 2012017473 | MO | MD | Physical Therapist |
| 2012027758 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Orthopaedics at Rush, LLC | Current | Accepting new patients | |
| Orthomidwest, PLLC | Physical Therapist | Current | Accepting new patients |
| Orthomidwest, PLLC | Current | Accepting new patients | |
| Orthomidwest, PLLC | Current | Accepting new patients | |
| Midwest Orthopaedics at Rush LLC | Current | Accepting new patients | |
| Mor Physician Network LLC | Past | Accepting new patients |
Locations
770 Beloit Rd
Belvidere, IL 61008
Phone (815) 847-7060
1611 W Harrison St
Ste 107
Chicago, IL 60612
Phone (312) 432-2513
1611 W Harrison St
Ste 400
Chicago, IL 60612
Phone (312) 243-4244
1611 W Harrison St
#400
Chicago, IL 60612
Phone (312) 243-4244
2011 York Rd
Ste 3000
Oak Brook, IL 60523
Phone (414) 732-2577
1 Westbrook Corporate Ctr
Ste 240
Westchester, IL 60154
2450 Wolf Rd
Ste F
Westchester, IL 60154
Phone (708) 236-2750
25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600
9200 Calumet Ave
Ste 300
Munster, IN 46321
Phone (708) 236-2737
9200 Calumet Ave
#300
Munster, IN 46321
9601 Calumet Ave
Munster, IN 46321
Phone (312) 432-2591
9200 Calumet Ave
Ste N500
Munster, IN 46321
Phone (219) 513-9955
9200 Calumet Ave
Munster, IN 46321
Phone (219) 440-5286
9200 Calumet Ave
Ste S300
Munster, IN 46321
Phone (708) 492-5460
Interoperability endpoints
- jonathan.o.connor.1@12576.direct.athenahealth.com
- jon.oconnor.p2@direct.athleticoltd.nextgenshare.com
Organizations & group practices 6
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.
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- NPI 1346866373
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- Orthopaedic Surgery Physician
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- NPI 1740741461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649289600000",
"number": "1710233200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 WESTBROOK CORPORATE CTR STE 240",
"city": "WESTCHESTER",
"state": "IL",
"postal_code": "601545745",
"telephone_number": "708-236-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9200 CALUMET AVE",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463212885",
"telephone_number": "708-236-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'CONNOR",
"first_name": "JONATHAN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-02",
"last_updated": "2022-04-07",
"certification_date": "2022-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2012017473",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070-026503",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05013599A",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2012027758",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Munster, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; 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.