Individual provider Active NPI

Kelsey S O'Connor, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Canton, OH
National Provider Identifier
1730429275
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
012839 Issued in OH
Practice address
4760 Belpar St NW
Canton, OH 44718-3603
Phone
(330) 492-9200
NPI assigned
Feb 20, 2013
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 125.064382 IL
Student in an Organized Health Care Education/Training Program 390200000X
Physical Medicine & Rehabilitation Physician 208100000X 012839 OH Primary

Addresses

Primary practice location

4760 Belpar St NW
Canton, OH 44718-3603

Mailing address

4760 Belpar St NW
Canton, OH 44718-3603
Phone (330) 492-9200

Other practice location 1

2160 S 1st Ave
Dept of Orthopaedic Surgery & Rehabilitation
Maywood, IL 60153-3328
Phone (708) 216-4254

Other names 1

  • Kelsey S Neufeld Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170621002728 OH Practitioner - Physical Medicine and Rehabilitation 2264733427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Arizona College of Osteopathic Medicine Mid Western University, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthounited, Inc.Group PAC ID 9032197868, 89 clinicians

Practice addresses (Care Compare)

4760 Belpar St NW
Canton, OH 44718-3603
Phone (330) 492-9200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.13 of 100Reported as group
Quality
74.6
Promoting interoperability
70
Improvement activities
40
Cost
84.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
125.064382ILMDPhysical Medicine & Rehabilitation Physician
012839OHMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthounited, Inc. CurrentSince Jan 1, 2023 Accepting new patients
Orthounited, Inc. Physical Medicine & Rehabilitation CurrentSince Jan 1, 2023 Accepting new patients

Locations

325 Springside Dr
Ste 101OH
Akron, OH 44333

2211 W State St
Alliance, OH 44601
Phone (330) 680-8735

4760 Belpar St NW
Canton, OH 44718
Phone (330) 244-1001

340 Oxford St
Dover, OH 44622
Phone (330) 343-0222

340 Oxford St
Ste 102
Dover, OH 44622
Phone (330) 602-3200

7442 Frank Ave NW
North Canton, OH 44720
Phone (330) 305-0838

Interoperability endpoints

  • Direct secure messaging: koconnor@omni.medentdirect.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1361318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1730429275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 BELPAR ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447183603",
            "telephone_number": "330-492-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 BELPAR ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447183603",
            "telephone_number": "330-492-9200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2160 S 1st Ave",
            "address_2": "Dept of Orthopaedic Surgery & Rehabilitation",
            "address_purpose": "LOCATION",
            "city": "Maywood",
            "state": "IL",
            "postal_code": "601533328",
            "country_code": "US",
            "telephone_number": "708-216-4254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "KELSEY",
        "middle_name": "S",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "125.064382",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "012839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "NEUFELD",
            "middle_name": "S",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.