Active NPIIndividual providerSole proprietor

Patrick T O'Sullivan, ATC

Specialist/Technologist, Athletic Trainer in Smithfield, Rhode Island

NPI Number1962079327
Practice location
1150 Douglas Pike, Athletic Training, Smithfield, RI 02917-0291
Fax
—
Last updated
June 4, 2021

Patrick T O'Sullivan is a Specialist/Technologist, Athletic Trainer based in Smithfield, RI. Patrick T O'Sullivan practices in Smithfield, RI and has the professional credentials of ATC. The NPI Number for Patrick T O'Sullivan is 1962079327 and holds a License No. AT00181 (RI). The current practice location address for Patrick T O'Sullivan is 1150 Douglas Pike, Athletic Training, Smithfield, RI 02917-0291 and can be reached out via phone at 401-232-6073.

Provider Profile Details

NPI Number
1962079327
Provider Name
Patrick T O'Sullivan
Credential
ATC
Provider Entity Type
Individual
Gender
Male
Address
1150 Douglas Pike, Athletic Training, Smithfield, RI 02917-0291
Phone Number
401-232-6073
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
June 4, 2021
Last Update Date
June 4, 2021
Certification Date
May 20, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
1150 Douglas Pike
Athletic Training
Smithfield, RI 02917-0291
Zip
02917-0291
Phone Number
401-232-6073
Smithfield, RI 02917Get directions →

Provider Business Mailing Address Details

Address
133 Phillips RD
East Greenwich, RI 02818-3444
City
East Greenwich
State
RI
Zip
02818-3444
Phone Number
401-255-3980

License Information

License Number
AT00181
License State
RI
Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Patrick T O'Sullivan, ATC?

The NPI number of Patrick T O'Sullivan, ATC is 1962079327. It was assigned on June 4, 2021 and is currently active in the NPPES registry.

What is the specialty of Patrick T O'Sullivan, ATC?

Patrick T O'Sullivan, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in RI under license number AT00181.

Where does Patrick T O'Sullivan, ATC practice?

The practice location is 1150 Douglas Pike, Athletic Training, Smithfield, RI 02917-0291. The office can be reached at 401-232-6073 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1962079327 directly on the NPPES registry website.

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