Patrick T O'Sullivan, ATC
Specialist/Technologist, Athletic Trainer in Smithfield, RI. Individual provider (NPI-1).
NPI number1962079327
StatusActive
Last updated in NPPESJun 4, 2021
Details
- NPI
- 1962079327
- Entity type
- Individual (NPI-1)
- Name
- Patrick T O'Sullivan
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 4, 2021
- Certification date
- May 20, 2021
- Last updated
- Jun 4, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | AT00181 | RI | Yes |
Practice location
1150 Douglas PikeAthletic Training
Smithfield, RI 02917-0291
Phone 401-232-6073
Mailing address
133 Phillips RdEast Greenwich, RI 02818-3444
Phone 401-255-3980
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 9 Athletic Trainer providers in Smithfield · All 302 providers in Smithfield
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