Provider Demographics
NPI:1568358844
Name:O'CONNELL, MAURA KATHLEEN (PT, DPT)
Entity type:Individual
Prefix:
First Name:MAURA
Middle Name:KATHLEEN
Last Name:O'CONNELL
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1338 N FRANKLIN ST APT 304
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-2447
Mailing Address - Country:US
Mailing Address - Phone:714-851-7787
Mailing Address - Fax:
Practice Address - Street 1:11265 DECATUR ST STE 300
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80234-4793
Practice Address - Country:US
Practice Address - Phone:303-561-0448
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-14
Last Update Date:2025-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL.0020655225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist