Individual provider Active NPI

Michael Joseph O'Brien, P.T.

  • Physical Therapist
  • Mechanicsville, MD
National Provider Identifier
1952311862
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19054 Issued in MD
Practice address
28103 Three Notch Rd
Mechanicsville, MD 20659-3294
Phone
(301) 290-5090
Fax
(301) 290-5091
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2012

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 19054 MD Primary

Addresses

Primary practice location

28103 Three Notch Rd
Mechanicsville, MD 20659-3294

Mailing address

26290 T Wood Dr
Mechanicsville, MD 20659-4652
Phone (301) 884-2363

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070208000605 MD Practitioner - Physical Therapist in Private Practice 2860494549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Freedom Therapy Solutions, Inc.Group PAC ID 5698842292, 3 clinicians

Practice addresses (Care Compare)

28105 Three Notch Rd
Mechanicsville, MD 20659-3235
Phone (301) 290-5090

Merit-based Incentive Payment System (MIPS)

Final score
70.29 of 100Reported as individual
Quality
80
Improvement activities
40
Cost
27.64

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19054MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Freedom Therapy Solutions, Inc. CurrentSince Jun 6, 2008 Accepting new patients

Locations

28103 Three Notch Rd
Mechanicsville, MD 20659
Phone (301) 290-5090

28105 Three Notch Rd
Mechanicsvlle, MD 20659
Phone (301) 290-5090

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1952311862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26290 T WOOD DR",
            "city": "MECHANICSVILLE",
            "state": "MD",
            "postal_code": "206594652",
            "telephone_number": "301-884-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28103 THREE NOTCH RD",
            "city": "MECHANICSVILLE",
            "state": "MD",
            "postal_code": "206593294",
            "telephone_number": "301-290-5090",
            "fax_number": "301-290-5091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "19054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.