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BRIAN MATTHEW OCONNELL PT, OCS, CERT MDT
NPI 1306349006
Physical Therapist - Orthopedic in Grand Rapids, MI

Active since March 09, 2018
4100 LAKE DR SE STE B03, GRAND RAPIDS, MI 49546(616) 267-8365 Get Directions Write a Review

NPPES record last updated: September 29, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 29, 2022, Mar 9, 2018 (2 updates tracked since 2018).

About Brian Matthew Oconnell Pt, Ocs, Cert Mdt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIAN MATTHEW OCONNELL PT, OCS, CERT MDT (NPI 1306349006) is an individual orthopedic provider in Grand Rapids, Michigan, licensed in Michigan (5501013083) and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1306349006
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameBRIAN MATTHEW OCONNELLCredential: PT, OCS, CERT MDT
Location Address4100 LAKE DR SE STE B03Grand Rapids, MI 49546-8292
Mailing Address4100 Lake Dr Se Ste B03Grand Rapids, MI 49546-8292
Phone(616) 267-8365
Sole ProprietorNo
Enumeration DateMarch 9, 2018
Last NPPES UpdateSeptember 29, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2022
✔ NPI 1306349006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in MI · 5501013083
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
4100 LAKE DR SE STE B03, Grand Rapids, MI 49546
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JENNIFER LYNN LEWIS DPT
Physical Therapist
4100 LAKE DR SE STE B03
GRAND RAPIDS, MI 49546
Kent County (616) 267-8365
MARIE PIENTON PT
Physical Therapist
4100 LAKE DR SE STE B03
GRAND RAPIDS, MI 49546
Kent County (616) 267-8365
THOMAS TRESH PT, DPT
Physical Therapist
4100 LAKE DR SE STE B03
GRAND RAPIDS, MI 49546
Kent County (616) 267-8365
MRS. ERIN ELIZABETH BURGESS-DOOD PT
Physical Therapist
4100 LAKE DR SE STE B03
GRAND RAPIDS, MI 49546
Kent County (616) 267-8365

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian Oconnell's NPI number?

The NPI number for Brian Oconnell is 1306349006. It was assigned to this individual provider in the NPPES registry on March 9, 2018.

Where is Brian Oconnell located?

Brian Oconnell practices at 4100 Lake Dr SE Ste B03, Grand Rapids, MI 49546. The listed phone number is (616) 267-8365.

What is Brian Oconnell's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

When was this NPI record last updated?

The NPPES record for Brian Oconnell was last updated on September 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.