Katherine Alicia Bleil O'Connell, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT39559 Issued in FL

Practice address

7820 Fanning CT
Fort Myers, FL 33907-8508

Phone

(269) 767-5544

NPI assigned

Feb 16, 2023

Sex

Female

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

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optimized Therapy Transitions LLCGroup PAC ID 6305274812, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Optimized Therapy Transitions, LLC

  • Occupational Therapist
  • St Petersburg, FL
  • NPI 1891346680

  FL, Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1891493201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1446 SE 18TH TER",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339904526",
            "telephone_number": "269-767-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7820 FANNING CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339078508",
            "telephone_number": "269-767-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNELL",
        "first_name": "KATHERINE",
        "middle_name": "ALICIA BLEIL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-16",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT39559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PT39559",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsey Dianne Nuzum, MSN ARNP FNP-BC
• Justine Nyman, LMHC
• Caleigh O'Brien
• Stacy Marie O'Brien, APRN
• William Francis O'Brien, M.D.
• Carly Noelle O'Connor, OTR/L
• Jillian O'Dell
• Stephanie A O'Dell
• John Thornton O'Donnell, M.D.
• Lillian May O'Drain, PA-C

• All providers in Fort Myers, FL
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.