Active NPI
Jessica E Oconnor, P.T.
- Physical Therapist
- West Tisbury, MA
National Provider Identifier
1861562290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 15457
- Practice address
- 35 Brushbroom Lane
West Tisbury, MA 02575 - Phone
- (508) 221-0583
- NPI assigned
- Nov 9, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 15457 | MH | Primary |
Addresses
Primary practice location
35 Brushbroom Lane
West Tisbury, MA 02575
Mailing address
PO Box 2498
Vineyard Haven, MA 02568-0922
Phone (508) 221-0583
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15457 | MA | MD | Pharmacist |
| 15457 | MH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353024000000",
"number": "1861562290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2498",
"city": "VINEYARD HAVEN",
"state": "MA",
"postal_code": "025680922",
"telephone_number": "508-221-0583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 BRUSHBROOM LANE",
"city": "WEST TISBURY",
"state": "MA",
"postal_code": "02575",
"telephone_number": "508-221-0583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OCONNOR",
"first_name": "JESSICA",
"middle_name": "E",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-09",
"last_updated": "2012-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MH",
"license": "15457",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Tisbury, MA
- Martha's Vineyard Orthopedic Surgery and Sports Medicine (Monto Orthopedics)
- Marthas Vineyard Ear Nose and Throat Specialists PC
- Bryan P McShea, D.C.
- Karen F Meeks, LICSW
- Helen Neumann, LIC ACC
- Basel Otoom
- Rufus W. Peebles, ED. D., J. D.
- Lesley Segal, AUD
- Jerome Dennis Segel, DPM
- Sander S Shapiro, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.