MATTHEW O'CONNOR (NPI# 1124642079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124642079 |
| Entity Type | Individual |
| Full Name | MATTHEW O'CONNOR |
| Practice Address |
4195 Westberg Rd Hermantown MN 55811-2962 |
| Mailing Address |
540 Falcon Crest Dr Spearfish SD 57783-3252 |
| Practice Telephone | 2182169921 |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2020-06-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 11839 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063870376 | Matthew O'connor | Registered Nurse | 3417 Front St, San Diego, CA 92103-4813 | 2016-02-01 |
| 1699038919 | Matthew J O'connor Sr. | Chore Provider | 404 Birchwood Rd, Medford, NY 11763-1232 | 2012-06-21 |
| 1922657543 | Matthew O'connor | Physical Therapist | 63 Pleasant St, Watertown, MA 02472-2386 | 2019-09-06 |
| 1609386689 | Matthew O'connor | Counselor | 3300 36th St Se, Grand Rapids, MI 49512-2810 | 2017-10-04 |
| 1982051066 | Matthew O'connor | Pharmacist | 90 Center Rd, Essex Junction, VT 05452-2658 | 2016-05-19 |
| 1306236013 | Matthew O'connor | Emergency Medicine | Uw Hospitals and Clinics, 600 University Ave, Madison, WI 53792-0001 | 2015-02-02 |
| 1942528997 | Matthew Crosby O'connor | Pediatrics | 301 Prospect Ave, Pediatrix Medical Group, Syracuse, NY 13203-1807 | 2010-05-13 |
| 1336393917 | Matthew O'connor | Physical Therapist | 45 Mallett Dr, Freeport, ME 04032-1312 | 2008-11-10 |
| 1164608147 | Matthew Alan O'connor | Nurse Anesthetist, Certified Registered | 250 Park St, Bowling Green, KY 42101-1760 | 2008-01-21 |
| 1396950978 | Matthew J O'connor | Pediatrics | 3401 Civic Center Blvd, Children's Hospital of Philadelphia - Cardiology, Philadelphia, PA 19104-4319 | 2007-05-14 |
| Street Address |
4195 WESTBERG RD |
| City | HERMANTOWN |
| State | MN |
| Zip Code | 55811-2962 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619914637 | Rebecca Marie-lewis Lee | Physical Therapist | 4195 Westberg Rd, Hermantown, MN 55811-2950 | 2006-05-31 |
| 1821652405 | Matthew Mcintyre | Occupational Therapist | 4195 Westberg Rd, Hermantown, MN 55811-2950 | 2019-04-29 |
| 1295231223 | Caringedge Hospice of Hermantown LLC | Hospice Care, Community Based | 4195 Westberg Rd, Hermantown, MN 55811-2950 | 2018-03-30 |
| 1679078604 | Caringedge Healthcare of Hermantown LLC | Home Health | 4195 Westberg Rd, Hermantown, MN 55811-2950 | 2018-03-30 |
| 1609050442 | Edgewood Hermantown I Senior Living LLC | Assisted Living Facility | 4195 Westberg Rd, Hermantown, MN 55811-3916 | 2007-12-27 |
| 1982757175 | Edgewood Vista | Assisted Living Facility | 4195 Westberg Rd, Hermantown, MN 55811-3916 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417515339 | Kyle Olson-merrick | Dentist | 320 W Myrtle St, Ste 100, Duluth, MN 55811 | 2019-06-05 |
| 1184288979 | Pdg, P.a. | Clinic/Center | 4891 Miller Truck Hwy., Suite 100, Hermantown, MN 55811 | 2019-04-26 |
| 1528589843 | Breanna Joy Greenly | Counselor | 4720 Burning Tree Road, Birch Tree Center, Duluth, MN 55811 | 2017-06-28 |
| 1396102398 | Debbie Christian | Registered Nurse | 4815 Burning Tree Rd Suite 100, Duluth, MN 55811 | 2016-01-21 |
| 1831556935 | Megan Marie Paris | Psychologist | 715 East Central Entrance, Duluth, MN 55811 | 2016-01-20 |
| 1740666908 | Angela Fedo | Physical Therapy Assistant | 2101 Trinity Rd, Duluth, MN 55811 | 2015-08-10 |
| 1649657479 | Kayla Stephenson | Specialist/Technologist | 5024 Morris Thomas Road, Hermantown, MN 55811 | 2015-04-30 |
| 1073918843 | Northern Lives Inc. | Assisted Living Facility | 4014 Trinity Road, Duluth, MN 55811 | 2014-10-23 |
| 1114326238 | Donald Hermanson | Specialist/Technologist | 801 Boulder Drive, Apt. 202, Duluth, MN 55811 | 2014-08-14 |
| 1679990857 | Jodie Little | Pharmacist | 801 W. Central Entrance, Shopko Pharmacy 2114, Duluth, MN 55811 | 2014-03-25 |
| Find all providers in zip 55811 | ||||
| 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 |
|---|---|---|---|---|
| 1619914637 | Rebecca Marie-lewis Lee | Physical Therapist | 4195 Westberg Rd, Hermantown, MN 55811-2950 | 2006-05-31 |
| 1831267889 | April Dawn Bissonette | Physical Therapist | 4855 W Arrowhead Rd, Hermantown, MN 55811-3936 | 2006-11-30 |
| 1689748717 | Steven Dennis Wilson | Physical Therapist | 4855 W Arrowhead Rd, Hermantown, MN 55811-3936 | 2006-11-20 |
| 1255366688 | Malcolm R Macaulay | Physical Therapist | 4855 W Arrowhead Rd, Hermantown, MN 55811-3936 | 2006-07-12 |
| 1881629236 | Ann M Myers | Physical Therapist | 4855 W Arrowhead Rd, Hermantown, MN 55811-3936 | 2006-07-12 |
| 1457388878 | Susan Alayne Benson | Physical Therapist | 4855 W Arrowhead Rd, Hermantown, MN 55811-3936 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184221475 | Lauran Hellbusch | Physical Therapist | 108 Ramsey Ave W, Atwater, MN 56209-1085 | 2020-10-08 |
| 1841897279 | Kaci Ann Hemmesch | Physical Therapist | 50 Margaret Ave Ne, Blackduck, MN 56630-4509 | 2020-10-08 |
| 1508473851 | Natalie Barron | Physical Therapist | 5466 Saint Croix Trl Ste 107, North Branch, MN 55056-4204 | 2020-09-29 |
| 1073129227 | Joshua Joseph Baker | Physical Therapist | 5979 193rd St W, Farmington, MN 55024-7101 | 2020-09-22 |
| 1720693542 | Joshua M Still | Physical Therapist | 829 Lake Ave S, Suite B, Park Rapids, MN 56470 | 2020-09-09 |
| 1760096424 | Fluid Health and Fitness Inc | Physical Therapist | 5639 Memorial Ave N, Stillwater, MN 55082-1092 | 2020-09-01 |
| 1154933240 | Gabriel Langseth | Physical Therapist | 707 4th Ave Se, Stewartville, MN 55976-1411 | 2020-08-19 |
| 1114539590 | Health Intended | Physical Therapist | 1054 Elizabeth St, Hawley, MN 56549-4443 | 2020-08-18 |
| 1245841535 | Lindsey John | Physical Therapist | 17810 Hollybrook Trl, Lakeville, MN 55044-6660 | 2020-08-11 |
| 1508477068 | Lifestyle Physical Therapy, LLC | Physical Therapist | 6940 Newbury Rd, Woodbury, MN 55125-4500 | 2020-08-10 |
| Find all providers with the same taxonomy | ||||
| City | HERMANTOWN |
| Zip Code | 55811 |
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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.