Individual provider Active NPI

Michael O'Brien, DPT

  • Physical Therapist
  • White Oak, PA
National Provider Identifier
1720455892
Registry record updated Aug 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT024734 Issued in PA
Practice address
1985 Lincoln Way
White Oak, PA 15131-2418
Phone
(412) 672-2352
Fax
(412) 672-2657
NPI assigned
Aug 25, 2015
Last updated
Aug 25, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2015

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 PT024734 PA Primary
Physical Therapist 225100000X 2305209680 VA

Addresses

Primary practice location

1985 Lincoln Way
White Oak, PA 15131-2418

Mailing address

625 Lincoln Ave Ste 209
N Charleroi, PA 15022-2451
Phone (724) 483-2159

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, SC, GA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20150922000398 PA Practitioner - Physical Therapist in Private Practice 2264749381 Reassigns benefits to 1 organization
I20180306000915 SC Practitioner - Physical Therapist in Private Practice 2264749381 Reassigns benefits to 1 organization
I20191010000960 GA Practitioner - Physical Therapist in Private Practice 2264749381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tift Regional Health System IncGroup PAC ID 2062745169, 294 clinicians

Practice addresses (Care Compare)

2227 US Hwy 41 N
Tifton, GA 31794-2749
Phone (229) 353-6188

Merit-based Incentive Payment System (MIPS)

Final score
81.02 of 100Reported as group
Quality
57.87
Promoting interoperability
100
Improvement activities
40
Cost
75.97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8961SCMDDentist
PT024734PAMDPhysical Therapist
2305209680VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic and Sports Physical Therapy Associates Inc Physical Therapist CurrentSince Aug 18, 2015 Accepting new patients
Tift Regional Health System Inc CurrentSince Aug 15, 2019 Accepting new patients
Tift Regional Health System Inc Physical Therapist CurrentSince Aug 19, 2019 Accepting new patients
Tift Regional Health System Inc CurrentSince Aug 15, 2019 Accepting new patients
Greenville Proaxis Therapy, LLC Physical Therapist CurrentSince Jan 1, 2018 Accepting new patients
Orthopedic & Sports Physical Therapy Associates, Inc. Physical Therapist Current Accepting new patients
Greenville Proaxis Therapy LLC CurrentSince Jan 1, 2018 Accepting new patients
Tift Regional Health System Inc CurrentSince Aug 19, 2019 Accepting new patients
Tift Regional Health System Inc Current Accepting new patients
Orthopedic and Sports Physical Therapy Associates Inc OT CurrentSince Aug 18, 2015 Accepting new patients
Orthopedic and Sports Physical Therapy Associates Past Accepting new patients
Orthopedic and Sports Physical Therapy Assoc Inc Past Accepting new patients

Locations

2225 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-3422

2227 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-6188

907 18th St E
Ste 150
Tifton, GA 31794
Phone (229) 353-3422

33205 Collection Ctr Dr
Chicago, IL 60693

625 Lincoln Ave
Ste 107
North Charleroi, PA 15022
Phone (724) 483-1673

625 Lincoln Ave
Ste 209
North Charleroi, PA 15022
Phone (724) 483-3610

500 1st Ave
Pittsburgh, PA 15219
Phone (412) 807-7878

1985 Lincoln Way
White Oak, PA 15131
Phone (412) 421-5390

1397 Silver Bluff Rd
Ste 100
Aiken, SC 29803
Phone (803) 220-1073

103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753

Organizations & group practices 12

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": "1440460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440460800000",
    "number": "1720455892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 LINCOLN AVE STE 209",
            "city": "N CHARLEROI",
            "state": "PA",
            "postal_code": "150222451",
            "telephone_number": "724-483-2159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1985 LINCOLN WAY",
            "city": "WHITE OAK",
            "state": "PA",
            "postal_code": "151312418",
            "telephone_number": "412-672-2352",
            "fax_number": "412-672-2657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "MICHAEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-25",
        "last_updated": "2015-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT024734",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305209680",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Oak, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; 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.