Kevin O'Connor, P.T.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT42813 Issued in CA

Practice address

30085 Comercio
Rancho Santa Margarita, CA 92688-2106

Phone

(949) 766-8535

Fax

(949) 766-8540

NPI assigned

Aug 18, 2015

Last updated

Aug 18, 2015By the provider in NPPES

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

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Impact Phytherapy and Performance Fna Ko Golf Performance & PT PC

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  • Laguna Niguel, CA
  • NPI 1346706025
  Medicare reassignment NPD Authorized official
• Ak Physical Therapy, P.C.

  • Orthopedic Physical Therapist
  • Laguna Niguel, CA
  • NPI 1063978740
  NPD
• Evolve Integrated Wellness and Physical Therapy PC

  • Physical Therapist
  • Rancho Santa Margarita, CA
  • NPI 1811264872

  Orthopedic

  NPD (past)

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439856000000",
    "number": "1982070587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30085 COMERCIO",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882106",
            "telephone_number": "949-766-8535",
            "fax_number": "949-766-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30085 COMERCIO",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882106",
            "telephone_number": "949-766-8535",
            "fax_number": "949-766-8540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "KEVIN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-18",
        "last_updated": "2015-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT42813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nima Chiropractic Incorporated
• Neda Nima, DC
• Iwan Nyotowidjojo, M.D.
• Cassandra O'Connor
• John P O'Connor, PT
• John J O'Donnell III, LMFT #131080
• Terry Michael O'Rourke, PHARMD
• Oc Diagnostic Imaging
• Ocean Valley Dental
• Sue Ukachi Ogbuagu

• Orthopedic Physical Therapist in Rancho Santa Margarita, CA
• Providers in Rancho Santa Margarita, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.