Individual provider Active NPI

Rosemary Ann O'Halloran, PT, DPT, LAT, ATC

  • Physical Therapist
  • Broomall, PA
National Provider Identifier
1821720566
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT030445 Issued in PA
Practice address
580 Reed Rd Ste 3
Broomall, PA 19008-3655
Phone
(610) 356-6211
NPI assigned
Jun 30, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT030445 PA Primary

Addresses

Primary practice location

580 Reed Rd Ste 3
Broomall, PA 19008-3655

Mailing address

57 W Eagle Rd
Havertown, PA 19083-2234
Phone (610) 955-7949

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251013000893 NJ Practitioner - Physical Therapist in Private Practice 3971090242 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4000 Route 9 S
Rio Grande, NJ 08242-1912

4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT030445PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabclinics SPT, Inc. CurrentSince Sep 5, 2025 Accepting new patients
Rehabclinics SPT Inc. Current Accepting new patients
Rehabclinics SPT Inc CurrentSince Sep 5, 2025 Accepting new patients
Osprey Rehabilitation, LLC. Physical Therapist Current Accepting new patients
Osprey Rehabilitation, LLC. CurrentSince Sep 1, 2025 Accepting new patients
Osprey Rehabilitation, LLC. CurrentSince Sep 1, 2025 Accepting new patients
Rehabclinics SPT Inc Past Accepting new patients

Locations

127 Bridgeton Pike
Unit D
Mullica Hill, NJ 08062
Phone (856) 478-0275

4000 Route 9 S
Rio Grande, NJ 08242
Phone (609) 889-8447

580 Reed Rd
Ste 3
Broomall, PA 19008
Phone (610) 356-6211

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1821720566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 W EAGLE RD",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190832234",
            "telephone_number": "610-955-7949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 REED RD STE 3",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190083655",
            "telephone_number": "610-356-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'HALLORAN",
        "first_name": "ROSEMARY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT030445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomall, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.