Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brian Matthew Oconnell, PT, OCS, CERTMDT

Individual provider Orthopedic Physical Therapist · NPI 1306349006

Brian Matthew Oconnell, PT, OCS, CERTMDT is an Orthopedic Physical Therapist in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2018.

Licensed in
MI
In the registry since
2018
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

4100 Lake Dr SE Ste B03
Grand Rapids, MI 49546-8292
Phone: (616) 267-8365
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 5501013083 (MI)

Record details

NPI number1306349006
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , OCS , CERTMDT
Sole proprietorNo
NPI enumeratedMarch 9, 2018
Last updated in NPPESSeptember 29, 2022
Certification dateSeptember 29, 2022
Mailing address4100 Lake Dr Se Ste B03, Grand Rapids, MI 49546-8292

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