MEDICARE: DANIEL O'CONNER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	224Z00000X	Occupational Therapy Assistant	245205	KY

General Provider Information

NPI Number	:	1649156738
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL O'CONNER

Provider Business Mailing Address
First Line	:	400 FARRELL DR
Second Line	:
City	:	COVINGTON
State	:	KY
Zip	:	41011-3785
Country	:	US
Telephone Number	:	859-340-8548
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 FARRELL DR
Second Line	:
City	:	COVINGTON
State	:	KY
Zip	:	41011-3785
Country	:	US
Telephone Number	:	859-340-8548
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/13/2025
Last Update Date	:	08/14/2025

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