Christopher P. O'Brien, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

RT003110 Issued in PA

Practice address

8200 Flourtown Ave
Suite 11
Wyndmoor, PA 19038-7976

Phone

(215) 233-5572

Fax

(215) 233-5584

NPI assigned

Nov 28, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Northwest Physical Therapy, Inc.

  • Physical Therapist
  • Wyndmoor, PA
  • NPI 1518950112
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912073255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3612 W CROWN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141802",
            "telephone_number": "215-281-0631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 FLOURTOWN AVE",
            "address_2": "SUITE 11",
            "city": "WYNDMOOR",
            "state": "PA",
            "postal_code": "190387976",
            "telephone_number": "215-233-5572",
            "fax_number": "215-233-5584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "CHRISTOPHER",
        "middle_name": "P.",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT003110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabelle Nawaz, MD
• Nixon Counseling and Consulting Service, LLC
• Northwest Internal Medicine
• Northwest Physical Therapy, Inc.
• Anna Weale O'Brien, L.P.C.
• Shannon Marie O'Neill, OTR/L
• Jeanine Cassar O'Rourke, LCSW
• Lois Olshan, RN
• Nicole Roxolana Palaio, LPC
• Cindy Suzan Perkiss, LCSW

• Athletic Trainer in Wyndmoor, PA
• Providers in Wyndmoor, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.