Organization Active NPI

O'Halloran Consulting LLC

  • Physical Therapist
  • Greensboro, NC
National Provider Identifier
1780940684
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2573 Issued in NC
Legal business name
O'HALLORAN CONSULTING LLC
Doing business as
O'Halloran Rehabilitation
Practice address
501 W Market St
Greensboro, NC 27401-2207
Phone
(336) 501-5351
NPI assigned
Apr 4, 2012
Organization subpart
Yes
Parent organization
O'HALLORAN CONSULTING, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Authorized official

Name
Dr. John O'Halloran, PT,DPT,OCS,ARC,CSCS,NPI 1902849359
Title
President
Phone
(336) 501-5351

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 2573 NC Primary

Addresses

Primary practice location

501 W Market St
Greensboro, NC 27401-2207

Mailing address

1852 Banking St # 9006
Greensboro, NC 27408-7222
Phone (336) 501-5351

Other practice location 1

3200 Northline Ave Ste P3B
Greensboro, NC 27408-7601
Phone (336) 501-1494

Other names 1

  • O'Halloran Rehabilitation Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120514000474 NC Part B Supplier - Clinic/Group Practice 7214190198 Receives reassigned benefits from 1 practitioner
Practice locations: Greensboro, NC

National Provider Directory

National Provider Directory
Part of
O'Halloran Consulting LLC

Locations

501 W Market St
Ste G50
Greensboro, NC 27401

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692057600000",
    "number": "1780940684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1852 BANKING ST # 9006",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087222",
            "telephone_number": "336-501-5351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W MARKET ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274012207",
            "telephone_number": "336-501-5351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 Northline Ave Ste P3B",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274087601",
            "country_code": "US",
            "telephone_number": "336-501-1494",
            "fax_number": "336-868-4356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "O'HALLORAN CONSULTING LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "O'HALLORAN CONSULTING, LLC",
        "enumeration_date": "2012-04-04",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A",
        "authorized_official_last_name": "O'HALLORAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-501-5351",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT,DPT,OCS,ARC,CSCS,"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "2573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "O'Halloran Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "O'Halloran Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.