Active NPI
Casey O'Donnell, D.O., MBA
- Physical Medicine & Rehabilitation Physician
- Hingham, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 234536
- Practice address
- 2 Pond Park Rd Ste 303
Hingham, MA 02043-4354 - Phone
- (781) 624-2525
- Fax
- (781) 741-6297
- NPI assigned
- Apr 14, 2006
- Last updated
- Dec 15, 2024
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 25MB07680200 | NJ | |
| Physical Medicine & Rehabilitation Physician | 208100000X | OS013626 | PA | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | DO00614 | RI | |
| Interventional Pain Medicine Physician | 208VP0014X | DO00614 | RI | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | OS11404 | FL | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 234536 | MA | Primary |
Addresses
Primary practice location
2 Pond Park Rd Ste 303
Hingham, MA 02043-4354
Mailing address
62 13TH St
Boston, MA 02129-2056
Phone (617) 952-5299
Other practice location 1
55 Fruit St
Boston, MA 02114-2621
Phone (617) 952-5299
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019522600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- University of New England, College of Osteo Medicine, 2002
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1434 Jam LN
Odessa, FL 33556-3704
Phone (888) 385-4555
55 Fogg Rd
Weymouth, MA 02190-2432
Phone (781) 792-4136
55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 234536 | MA | MD | Physical Medicine & Rehabilitation Physician |
| 25MB07680200 | NJ | MD | Physical Medicine & Rehabilitation Physician |
| OS11404 | FL | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
| DO00614 | RI | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The General Hospital Corporation | Interventional Pain Medicine | Current | Accepting new patients |
| Brigham and Women's Hospital | Current | Accepting new patients | |
| Florida Medical Clinic, LLC | Current | Accepting new patients | |
| Massachusetts General Physicians Organization Inc | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Florida Medical Clinic LLC | Current | Accepting new patients | |
| Coastal Medical Associates | Current | Accepting new patients | |
| Vaxonsite, LLC | Current | Accepting new patients | |
| Southern New England Anesthesia and Pain Associates, Inc | Interventional Pain Medicine | Past | Accepting new patients |
| New England Anesthesiologists, Inc. | Past | Accepting new patients |
Locations
2100 Via Bella Blvd
Ste 101
Land O Lakes, FL 34639
Phone (813) 948-1498
2100 Via Bella Blvd
Ste 103
Land O Lakes, FL 34639
Phone (813) 712-5700
38135 Market Square Dr
Zephyrhills, FL 33542
Phone (352) 567-0188
55 Fruit St
Boston, MA 02114
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
62 13th St
Charlestown, MA 02129
Phone (617) 724-3874
2 Pond Park Rd
Ste 303
Hingham, MA 02043
Phone (781) 624-2525
141 Longwater Dr
Ste 201
Norwell, MA 02061
Phone (781) 261-7820
55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293
55 Fogg Rd
#81
Weymouth, MA 02190
90 Libbey Park
Ste 100
Weymouth, MA 02189
Phone (781) 624-4950
Interoperability endpoints
- caseyodonnell@fso.allscriptsdirect.net
- caseyodonnell@tsc.allscriptsdirect.net
- odonnell.casey.bwh@direct.partners.masshiway.net
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Weymouth, MA
- NPI 1932175684
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
Physical Medicine & Rehabilitation
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
Interventional Pain Medicine
-
- Clinic/Center
- Zephyrhills, FL
- NPI 1821055690
-
- Multi-Specialty Clinic/Center
- Odessa, FL
- NPI 1982152054
-
- General Acute Care Hospital
- Boston, MA
- NPI 1093885816
-
dba Florida Medical Clinic Pharmacy
- Pharmacy
- Zephyrhills, FL
- NPI 1669548020
-
- Anesthesiology Physician
- Warwick, RI
- NPI 1821119637
-
- Anesthesiology Physician
- Pawtucket, RI
- NPI 1356394407
Interventional Pain Medicine
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1790717650
-
dba Spaulding Rehabilitation Hospital - Cape Cod
- Rehabilitation Hospital
- E Sandwich, MA
- NPI 1265489736
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- South Weymouth, MA
- NPI 1134227606
-
dba Spaulding Rehabilitation Hospital - Boston
- Rehabilitation Hospital
- Charlestown, MA
- NPI 1780600825
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734220800000",
"number": "1922062157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 13TH ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021292056",
"telephone_number": "617-952-5299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 POND PARK RD STE 303",
"city": "HINGHAM",
"state": "MA",
"postal_code": "020434354",
"telephone_number": "781-624-2525",
"fax_number": "781-741-6297"
}
],
"practiceLocations": [
{
"address_1": "55 Fruit St",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021142621",
"country_code": "US",
"telephone_number": "617-952-5299",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'DONNELL",
"first_name": "CASEY",
"credential": "D.O., MBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-14",
"last_updated": "2024-12-15",
"certification_date": "2024-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NJ",
"license": "25MB07680200",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "PA",
"license": "OS013626",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "RI",
"license": "DO00614",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "RI",
"license": "DO00614",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "FL",
"license": "OS11404",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MA",
"license": "234536",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "019522600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hingham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.