IndividualActive
Brian Oconnell, PT, OCS, CERT MDT
NPI 1306349006 · Orthopedic Physical Therapist · Grand Rapids, MI
Provider details
- NPI number
- 1306349006
- Entity type
- Individual
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, OCS, CERT MDT
- Sex
- Male
- Sole proprietor
- No
- License
- 5501013083 (MI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
4100 Lake Dr Se Ste B03
Grand Rapids, MI 49546-8292
Phone: (616) 267-8365
Approximate (ZIP-level) locationGet directions
Mailing address
4100 Lake Dr Se Ste B03
Grand Rapids, MI 49546-8292
Registry dates
- Enumerated
- 2018-03-09
- Last updated
- 2022-09-29
- Certified
- 2022-09-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.