Active NPI
Rosemary Ann O'Halloran, PT, DPT, LAT, ATC
- Physical Therapist
- Broomall, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT030445
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT030445 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabclinics SPT, Inc. | Current | Accepting new patients | |
| Rehabclinics SPT Inc. | Current | Accepting new patients | |
| Rehabclinics SPT Inc | Current | Accepting new patients | |
| Osprey Rehabilitation, LLC. | Physical Therapist | Current | Accepting new patients |
| Osprey Rehabilitation, LLC. | Current | Accepting new patients | |
| Osprey Rehabilitation, LLC. | Current | 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.
-
- Physical Therapy Clinic/Center
- Hammonton, NJ
- NPI 1659085678
Physical Therapist
-
- Physical Therapy Clinic/Center
- Little Egg Harbor, NJ
- NPI 1699113688
-
- Physical Therapy Clinic/Center
- Chalfont, PA
- NPI 1952009482
-
- Physical Therapy Clinic/Center
- Linwood, NJ
- NPI 1255064044
-
- Physical Therapy Clinic/Center
- Somers Point, NJ
- NPI 1447965470
-
- Physical Therapy Clinic/Center
- Moorestown, NJ
- NPI 1346246824
-
- Physical Therapy Clinic/Center
- Manahawkin, NJ
- NPI 1043271216
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.