Ryan Ennis O'Shea, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

24138 Issued in MA

Practice address

20 Patriot PL
Foxborough, MA 02035-1375

Phone

(508) 718-4040

NPI assigned

Feb 19, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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.

• Massachusetts Physical Therapy Services of Quincy Bay, LLC

  • Physical Therapist
  • Quincy, MA
  • NPI 1568162170
  NPD

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

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1811453541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 KILSYTH RD",
            "city": "SOUTH EASTON",
            "state": "MA",
            "postal_code": "023751075",
            "telephone_number": "508-577-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PATRIOT PL",
            "city": "FOXBOROUGH",
            "state": "MA",
            "postal_code": "020351375",
            "telephone_number": "508-718-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'SHEA",
        "first_name": "RYAN",
        "middle_name": "ENNIS",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-19",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "24138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mylyfe LLC (LUX Infusion 12)
• Marquita S Myrick, MA, NCC, LPC, LMHC
• Nicole Nakhoul, BCBA, LABA
• Navicular LLC (E Kelly McLaughlin Sole MBR)
• Marie Laudie Nelson, RN
• Ocean State Chiropractic and Sports Rehabilitation Inc
• Michelle Pacheco
• Megan Ashley Page
• Nicholas Michael Peltsman
• Lauren Pereira, LMHC

• Physical Therapist in Foxborough, MA
• Providers in Foxborough, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; 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.