Active NPI
James Andrew O'Brien, PT
- Physical Therapist
- Ft. Cavazos, TX
National Provider Identifier
1861622011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 008560
- Practice address
- 590 Medical Center
Ft. Cavazos, TX 76544 - Phone
- (254) 288-8000
- NPI assigned
- Jul 22, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 008560 | CT | |
| Physical Therapist | 225100000X | 008560 | CT | Primary |
Addresses
Primary practice location
590 Medical Center
Ft. Cavazos, TX 76544
Mailing address
706 Dunford Dr
Temple, TX 76502-2405
Phone (860) 967-9341
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004190328 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008560 | CT | MD | Physical Therapist |
| 8560 | CT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Canton Physical Therapy, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Skilled Nursing Facility
- Canaan, CT
- NPI 1518060110
-
- Physical Therapist
- Canton, CT
- NPI 1649493644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739318400000",
"number": "1861622011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "706 DUNFORD DR",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765022405",
"telephone_number": "860-967-9341",
"fax_number": "609-679-3418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590 MEDICAL CENTER",
"city": "FT. CAVAZOS",
"state": "TX",
"postal_code": "76544",
"telephone_number": "254-288-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'BRIEN",
"first_name": "JAMES",
"middle_name": "ANDREW",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-22",
"last_updated": "2025-02-12",
"certification_date": "2025-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CT",
"license": "008560",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "008560",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004190328",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ft. Cavazos, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.