Individual provider Active NPI

John W O'Halloran, DPT

  • Physical Therapist
  • Greensboro, NC
National Provider Identifier
1902849359
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2573 Issued in NC
Practice address
501 W Market St
Greensboro, NC 27401-2207
Phone
(336) 478-9626
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2573 NC Primary

Addresses

Primary practice location

501 W Market St
Greensboro, NC 27401-2207

Mailing address

1852 Banking St # 9006
Greensboro, NC 27408-7222
Phone (336) 501-5351

Other practice location 1

3200 Northline Ave Ste P3B
Greensboro, NC 27408-7601
Phone (336) 501-1494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100719000761 NC Practitioner - Physical Therapist in Private Practice 9032241500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3200 Northline Ave
P3B
Greensboro, NC 27408-7601
Phone (336) 501-1494

501 W Market St
Greensboro, NC 27401-2207
Phone (336) 501-5351

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2573NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
O'Halloran Consulting LLC Physical Therapist CurrentSince Apr 5, 2012 Accepting new patients

Locations

1852 Banking St
Greensboro, NC 27408
Phone (336) 271-0980

3200 Northline Ave
Ste P3B
Greensboro, NC 27408
Phone (336) 355-8488

501 W Market St
Greensboro, NC 27401
Phone (336) 501-5351

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1902849359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1852 BANKING ST # 9006",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087222",
            "telephone_number": "336-501-5351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W MARKET ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274012207",
            "telephone_number": "336-478-9626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 Northline Ave Ste P3B",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274087601",
            "country_code": "US",
            "telephone_number": "336-501-1494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'HALLORAN",
        "first_name": "JOHN",
        "middle_name": "W",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "2573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.