Patricia Oconnell, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4955 Issued in OR

Practice address

56 Water St
St Augustine, FL 32084-2887

Phone

(727) 364-4024

NPI assigned

Dec 5, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Patricia Lodge Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Talk of the Town Speech Therapy LLC

  • Speech-Language Pathologist
  • St Augustine, FL
  • NPI 1689063216
  NPD
• Talk of the Town Speech Therapy LLC

  • Early Intervention Provider Agency
  • St Augustine, FL
  • NPI 1649705419
  NPD (past)
• McKenzie Crossing Orthopedic Physical Therapy Inc

  • Physical Therapist
  • Springfield, OR
  • NPI 1538224084
  NPD (past)
• Therapeutic Associates Inc

  • Physical Therapist
  • Bothell, WA
  • NPI 1114376563
  NPD (past)
• Therapeutic Associates Inc

  • Physical Therapist
  • Portland, OR
  • NPI 1144042649
  NPD (past)
• Therapeutic Associates Inc

  • Physical Therapist
  • Eugene, OR
  • NPI 1497731855
  NPD (past)
• Therapeutic Associates Inc

  • Physical Therapist
  • Portland, OR
  • NPI 1700862000
  NPD (past)

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1770567620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 WATER ST",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320842887",
            "telephone_number": "727-364-4024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 WATER ST",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320842887",
            "telephone_number": "727-364-4024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCONNELL",
        "first_name": "PATRICIA",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-05",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT38010",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "24904",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "4955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "LODGE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• OB Hospitalist Group LLC
• OBGYN Associates of St Augustine PA
• Cassandra Lorenz Oborne, LMHC
• Oceanside Endodontics OD St. Augustine
• Oceanvibes, Inc.
• Odalys Brito MD & Associates PA
• McKinley Odom, DPT
• Robert A Oesterle, MD
• Enya Ohlenschlager Van Coller, DPT
• Merlin Paul Ohmer, DDS

• Physical Therapist in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.