MR. BRYAN JOSEPH O'HALLORAN (NPI# 1295799914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295799914 |
| Entity Type | Individual |
| Full Name | MR. BRYAN JOSEPH O'HALLORAN |
| Credential | P.T. SCS, OCS |
| Practice Address |
57 W Eagle Rd Havertown PA 19083-2234 |
| Mailing Address |
316 Valley Rd Havertown PA 19083-5434 |
| Practice Telephone | 6107899887 |
| Practice Fax Number | 6107899883 |
| Mailing Telephone | 6107891599 |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2010-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT-002907-E | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | PERSONALCHOICE PROVIDER # | 0660220000 | 01 |
| PA | AETNA TRADITIONAL PROV. # | 5245562 | 01 |
| PA | KEYSTONE PIN | 0660220000 | 01 |
| PA | BC/BS PIN | 38720 | 01 |
| PA | UNITED HEALTHCARE PROV. # | 689220 | 01 |
| PA | AETNA HMO PROVIDER# | 0959942 | 01 |
| PA | MEDICARE RAILROAD PIN | 650015206 | 01 |
| Street Address |
57 W EAGLE RD |
| City | HAVERTOWN |
| State | PA |
| Zip Code | 19083-2234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013520329 | Sarah Margaret Abbonizio | Physical Therapist | 57 W Eagle Rd, Havertown, PA 19083-2234 | 2020-08-26 |
| 1225583826 | Philip Lindsay | Physical Therapist | 57 W Eagle Rd, Havertown, PA 19083-2234 | 2016-08-24 |
| 1871969006 | Brianna Lynn Glassmyer | Physical Therapist | 57 W Eagle Rd, Havertown, PA 19083-2234 | 2015-08-11 |
| 1497032411 | Lynn Rosenzweig | Physical Therapist | 57 W Eagle Rd, Havertown, PA 19083-2234 | 2011-11-04 |
| 1528358264 | Addison Jade Lerner | Physical Therapist | 57 W Eagle Rd, Havertown, PA 19083-2234 | 2011-04-14 |
| 1427365220 | Paul Vernon Haerling | Physical Therapist | 57 W Eagle Rd, Suite 1, Havertown, PA 19083-2234 | 2010-09-01 |
| 1225224454 | Robin M Stott-mcnulty | Physical Therapist | 57 W Eagle Rd, Havertown, PA 19083-2234 | 2007-09-20 |
| 1679507735 | Kristen M Klingen | Physical Therapist | 57 W Eagle Rd, Havertown, PA 19083-2234 | 2006-07-11 |
| 1619916285 | Amy C Lukasiewicz | Physical Therapist | 57 W Eagle Rd, Havertown, PA 19083-2234 | 2006-06-06 |
| 1821053281 | Keith A Wobeser Iv | Physical Therapist | 57 W Eagle Rd, Havertown, PA 19083-2234 | 2006-04-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043835457 | Kelly Anne Clarke | Counselor | American Treatment Network Physician & Associates, 1120 Township Line Road, Havertown, PA 19083 | 2020-06-11 |
| 1588216238 | Angela Wrolstad | Registered Nurse | 614 Darby Road, Havertown, PA 19083 | 2019-07-12 |
| 1639696214 | Osaru Anyumba | Case Manager/Care Coordinator | 311 Lansdowne Road, Havertown, PA 19083 | 2017-08-24 |
| 1346762739 | Luke Francis Mattson | Pharmacist | 60 West Hillcrest Avenue, Havertown, PA 19083 | 2017-07-07 |
| 1124558150 | Clare M Chakey | Counselor | 1631 Ridgeway Road, Haventown, PA 19083 | 2017-06-13 |
| 1205382553 | Silverware Home Care Service LLC | Residential Treatment Facility, Physical Disabilities | 2010 Wester Chester Pike, Suite 448, Havertown, PA 19083 | 2016-08-28 |
| 1275903486 | Megan Keeley Ramaika | Dietitian, Registered | 404 Fairmont Road, Havertown, PA 19083 | 2015-09-30 |
| 1972987246 | Katie Paugh | Occupational Therapist | One North Belfield Avenue, Havertown, PA 19083 | 2015-07-16 |
| 1497140180 | Total Health Home Care Corporation | Nurse's Aide | 2710 West Township Line Rd, Havertown, PA 19083 | 2015-03-31 |
| 1851704084 | Ul Sik Jason Chong | Pharmacist | 700 East Townshipline Road Ste Ll, Havertown, PA 19083 | 2014-06-05 |
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| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952922601 | Yourpt LLC | Physical Therapist | 5 Castle Rock Dr, Havertown, PA 19083-1206 | 2020-05-05 |
| 1912402595 | R & G Physical Therapy | Physical Therapist | 1516 Burmont Rd, Havertown, PA 19083-4821 | 2018-03-27 |
| 1750622502 | Douglas Stephen Carroll | Physical Therapist | 21 W Golfview Rd, Havertown, PA 19083-1101 | 2013-03-04 |
| 1841545951 | Nicholas Tyler Racich | Physical Therapist | 11 E Mercer Ave, Apartment 1a, Havertown, PA 19083-4743 | 2012-07-16 |
| 1669739074 | Tracy Jo Binder | Physical Therapist | 301 Bewley Rd, Havertown, PA 19083-5432 | 2012-04-23 |
| 1093034449 | Patricia J Hennessy | Physical Therapist | 100 E Marthart Ave, Havertown, PA 19083-2413 | 2010-05-25 |
| 1295979722 | Susan Caffarella-simonson | Physical Therapist | 317 Greenview Ln, Havertown, PA 19083-4314 | 2009-04-28 |
| 1063699403 | Donna Louise Pimble | Physical Therapist | 1 North Belfield Ave, Sunny Days, Havertown, PA 19083 | 2008-01-29 |
| 1063637742 | Nancy Reale Ryan | Physical Therapist | 1234 Leedom Rd, Havertown, PA 19083-4802 | 2007-04-16 |
| 1851514525 | Wendy Patricia Copeland Ionadi | Physical Therapist | 35 Greenview Ln, Havertown, PA 19083-4312 | 2007-04-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.