Individual provider Active NPI

Casey O'Donnell, D.O., MBA

  • Physical Medicine & Rehabilitation Physician
  • Hingham, MA
National Provider Identifier
1922062157
Registry record updated Dec 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
234536 Issued in MA
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
019522600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120113000517 FL Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 0840295200 Reassigns benefits to 2 organizations
I20200814000758 MA Practitioner - Physical Medicine and Rehabilitation 0840295200 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
University of New England, College of Osteo Medicine, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Coastal Medical AssociatesGroup PAC ID 7113029257, 443 clinicians

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

LicenseStateTypeSpecialty
234536MAMDPhysical Medicine & Rehabilitation Physician
25MB07680200NJMDPhysical Medicine & Rehabilitation Physician
OS11404FLMDPain Medicine (Physical Medicine & Rehabilitation) Physician
DO00614RIMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The General Hospital Corporation Interventional Pain Medicine CurrentSince Feb 1, 2025 Accepting new patients
Brigham and Women's Hospital Current Accepting new patients
Florida Medical Clinic, LLC CurrentSince Nov 1, 2016 Accepting new patients
Massachusetts General Physicians Organization Inc Physical Medicine & Rehabilitation CurrentSince Feb 1, 2025 Accepting new patients
Florida Medical Clinic LLC CurrentSince Nov 1, 2016 Accepting new patients
Coastal Medical Associates CurrentSince Jul 15, 2020 Accepting new patients
Vaxonsite, LLC CurrentSince Oct 3, 2016 Accepting new patients
Southern New England Anesthesia and Pain Associates, Inc Interventional Pain Medicine PastSince Jan 1, 2002 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

  • Direct secure messaging: caseyodonnell@fso.allscriptsdirect.net
  • Direct secure messaging: caseyodonnell@tsc.allscriptsdirect.net
  • Direct secure messaging: 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.