Provider Demographics
NPI:1609598085
Name:O'CONNOR, JOHN JAMES (PT, DPT)
Entity Type:Individual
Prefix:
First Name:JOHN JAMES
Middle Name:
Last Name:O'CONNOR
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:JJ
Other - Middle Name:
Other - Last Name:O'CONNOR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:10 S POINTE LNDG STE 100
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14606-3481
Mailing Address - Country:US
Mailing Address - Phone:585-341-9200
Mailing Address - Fax:585-225-2839
Practice Address - Street 1:10 S POINTE LNDG STE 100
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14606-3481
Practice Address - Country:US
Practice Address - Phone:585-341-9200
Practice Address - Fax:585-225-2839
Is Sole Proprietor?:No
Enumeration Date:2022-09-13
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0492452251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic