KEVIN MITCHELL O'DONNOGHUE (DPT) – Physical Therapist, NPI 1760147631

KEVIN MITCHELL O'DONNOGHUE (DPT) is a healthcare provider. based in Annapolis, Maryland. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 28740 (MD). The NPI Number for KEVIN MITCHELL O'DONNOGHUE (DPT) is 1760147631

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN MITCHELL O'DONNOGHUE (DPT)
NPI
1760147631
Phone
(410) 266-6626
Address
2564 RIVA RD
Enumeration Date
4 November 2021
Last Update Date
17 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4102666626
Graduation Year
2021 (5 years ago)
PAC ID
0547659211
Group Practice PAC ID
9032255401
Professional Enrollment ID
I20211118000966
Address ID
MD214017405AN2564XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

3,004 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MD

Provider Addresses for KEVIN MITCHELL O'DONNOGHUE (DPT)

  • 2564 RIVA RD

    ANNAPOLIS, MD 214017405

    Phone: (410) 266-6626

    Fax: (410) 266-3026

    Type: Mailing

  • 4358 SIMPERS DR

    MANCHESTER, MD 211022348

    Phone: (443) 602-1087

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-11-18

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211118000966IPhysical Therapist In Private PracticeMDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities5,816343$0
97535Training for self-care or home management, each 15 minutes862229$0
97140Therapy procedure using manual technique, each 15 minutes683164$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes56396$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes469102$0
View full utilization report →

Insurance plans in this area (ZIP 21401)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9032255401View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMD
Physical Therapist In Private PracticeMD
Physical Therapist In Private PracticeMD
-MD
Physical Therapist In Private PracticeMD
Physical Therapist In Private PracticeMD
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeMD

Reviews

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Frequently asked questions

Does KEVIN MITCHELL O'DONNOGHUE (DPT) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KEVIN MITCHELL O'DONNOGHUE (DPT) uses 1760147631.
Is KEVIN MITCHELL O'DONNOGHUE (DPT) listed as active for patients and plans?
The listing shows KEVIN MITCHELL O'DONNOGHUE (DPT) as active in the NPI system.
What is KEVIN MITCHELL O'DONNOGHUE (DPT) best known for clinically?
Directory data describes KEVIN MITCHELL O'DONNOGHUE (DPT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
Where should I expect KEVIN MITCHELL O'DONNOGHUE (DPT) on a map?
Expect Annapolis, Maryland as a primary anchor for KEVIN MITCHELL O'DONNOGHUE (DPT) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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