MR. JOSEPH S O CONNOR (NPI# 1528060118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528060118 |
Entity Type | Individual |
Full Name | MR. JOSEPH S O CONNOR |
Credential | PT SCS |
Practice Address |
39 Cross St Suite 205 Peabody MA 01960-1670 |
Mailing Address |
1 Market St 3rd Floor Lynn MA 01901-1011 |
Practice Telephone | 9785387370 |
Practice Fax Number | 9785387372 |
Mailing Telephone | 7815920540 |
Mailing Fax Number | 7815920989 |
Enumeration Date | 2005-08-12 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251S0007X |
Physical Therapist Specialization: Sports |
6761 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | TUFTS | 612043 | 01 |
MA | HCHP | 626117 | 01 |
MA | BCBS | 766575 | 01 |
MA | BCBS GROUP | Y61243 | 01 |
MA | NEIGHBORHOOD HLTH | 001270 | 01 |
MA | CIGNA HEALTH SOURCE | 540790 | 01 |
MA | 0365106 | 05 | |
MA | UNITED HEALTH | 64 00088 | 01 |
MA | AETNA | 2049990 | 01 |
FIRST HEALTH | 2153514 | 01 |
Street Address |
39 CROSS ST SUITE 205 |
City | PEABODY |
State | MA |
Zip Code | 01960-1670 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316499080 | Arthritis Associates, Inc | Internal Medicine | 39 Cross St, Suite 103, Peabody, MA 01960-1670 | 2016-10-28 |
1548668577 | Arthritis Associates Inc | Specialist | 39 Cross St, Peabody, MA 01960-1670 | 2014-12-08 |
1285947564 | Inhwan Hong | Dentist | 39 Cross St, #102, Peabody, MA 01960-1670 | 2010-07-15 |
1154577476 | Michael Indelicato | Internal Medicine | 39 Cross St, Suite 103, Peabody, MA 01960-1670 | 2008-08-18 |
1487826145 | Sumra Shahin Khan | Dentist | 39 Cross St, Suite 307, Peabody, MA 01960-1670 | 2008-04-01 |
1194847996 | Arthritis Associates, Inc. | Specialist | 39 Cross St, Suite 103, Peabody, MA 01960-1670 | 2007-04-04 |
1891817359 | Arthur C Buckley Jr. | Dentist | 39 Cross St, Suite101, Peabody, MA 01960-1670 | 2007-04-04 |
1295856243 | Karen P. Szczechowicz M.d., PC | Pediatrics | 39 Cross St, Suite 306, Peabody, MA 01960-1670 | 2007-04-03 |
1851431696 | Rebecca Marie Krol | Social Worker | 39 Cross St, Suite 205, Peabody, MA 01960-1670 | 2007-02-08 |
1912007139 | Matthew David Heller | Internal Medicine | 39 Cross St, Suite 103, Peabody, MA 01960-1670 | 2006-09-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962020321 | Kathleen Marie Cliffe | Nurse Practitioner | 15 Sandra Rd, Peabody, MA 01960 | 2020-07-10 |
1801398102 | Janis Melanson | Counselor | Higgins Middle School, 85 Perkins Street, Peabody, MA 01960 | 2018-03-02 |
1679082036 | Kelsey Ann Lima | Social Worker | 9 Centennial Drive, Suite 202, Peabody, MA 01960 | 2017-09-28 |
1609394485 | Victoria Jade Olechowski | Specialist/Technologist | 1002 Crane Brook Way, Peabody, MA 01960 | 2017-08-31 |
1841715711 | Alexandra Lee Chasse | Counselor | 9 Cenntenial Drive, Suit 202, Peabody, MA 01960 | 2017-08-11 |
1275982936 | Miguel A Roque | Dentist | 6 Essex Center Drive Suite 110, Peabody, MA 01960 | 2016-06-03 |
1528412061 | Kabamedicalcorporation | Durable Medical Equipment & Medical Supplies | 484lowell Street, Peabody, MA 01960 | 2016-04-21 |
1437510815 | Ana Tereza T. Wescott | Dentist | 89 Foster Street, Peabody Family Health Center, Peabody, MA 01960 | 2016-03-14 |
1225496474 | Ashley Motta | Counselor | 24 Jennifer Lane, Peabody, MA 01960 | 2016-02-03 |
1578942645 | Cerebral Palsy of Eastern Mass Incorporated | Early Intervention Provider Agency | 6 Stratis Way, Peabody, MA 01960 | 2015-05-22 |
Find all providers in zip 01960 |
Taxonomy Code | 2251S0007X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Sports |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487205324 | Foredefi Athletic | Physical Therapist | 48 Eddy St, Attleboro, MA 02703-2406 | 2019-09-23 |
1508428145 | Victor Wei | Physical Therapist | 22 Town Farm Rd, Westford, MA 01886-2365 | 2019-07-03 |
1194380766 | Continuous Motion Physical Therapy | Physical Therapist | 10 Millenium Drive, Bourne, MA 02532 | 2019-05-08 |
1881933273 | Jennifer B Green | Physical Therapist | 9 Whalen Rd, Hopkinton, MA 01748-1719 | 2013-02-05 |
1720202088 | Maryellen Ernst | Physical Therapist | 28 Norfolk Ave, Swampscott, MA 01907-1805 | 2007-04-11 |
1972649440 | Laurence Paul Greenberg | Physical Therapist | 170 Pond Rd, West Tisbury, MA 02575-0130 | 2007-01-30 |
1285723049 | Richard Qualter | Physical Therapist | 160 Route 137, East Harwich, MA 02645-1316 | 2006-10-12 |
1225098544 | Michael Roger Garrett | Physical Therapist | 23 W Chester St, Apartment 5, Nantucket, MA 02554-3680 | 2006-03-23 |
1730151762 | Daniel Murray | Physical Therapist | 6 Grove St, Norwell, MA 02061-1534 | 2006-02-03 |
1245210715 | Jay Scott Cloutier | Physical Therapist | 66 Mdg/sgo, 90 Vandeberg Ave, Hanscom Afb, MA 01731 | 2006-01-19 |
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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.