Shawn J O'Connell, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60100585 Issued in WA

Practice address

10505 19TH Ave SE
Ste B
Everett, WA 98208-4280

Phone

(408) 570-0510

Fax

(408) 945-4018

NPI assigned

Oct 20, 2009

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• King County Public Hospital District No 2

  • Neuromusculoskeletal Medicine & OMM Physician
  • Kirkland, WA
  • NPI 1801986070
  NPD
• King County Public Hospital District No. 2

  • Physical Therapist
  • Kirkland, WA
  • NPI 1356920946
  NPD
• King County Public Hospital District No. 2

  • Clinic/Center
  • Redmond, WA
  • NPI 1750612883
  NPD
• Cascade Rehabilitation Associates, PLLC

  • Occupational Therapist
  • Everett, WA
  • NPI 1245361617

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327449600000",
    "number": "1841526258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12121 HARBOUR REACH DR",
            "address_2": "BUILDING A - STE 100",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982755314",
            "telephone_number": "425-493-8313",
            "fax_number": "425-493-9614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10505 19TH AVE SE",
            "address_2": "STE B",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982084280",
            "telephone_number": "408-570-0510",
            "fax_number": "408-945-4018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNELL",
        "first_name": "SHAWN",
        "middle_name": "J",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-20",
        "last_updated": "2012-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60100585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "G8894942",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Josephine Anulika Nzekwe
• Danielle O'Brien, BSPTA
• Karen Dolan O'Brien, MA, LMHC, MHP, CMHS
• Elena Lin O'Callahan, RD
• Katherine O'Connell, DNP
• Tara O'Connell
• Mary Elizabeth O'Connor, M.S., N.C.C., C.R.C.
• Nathaniel Adam O'Connor, PSYD
• Rhea O'Connor, PT
• Ryan O'Connor, DDS

• Physical Therapist in Everett, WA
• Providers in Everett, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.