MR. MICHAEL ODOM JR. (NPI# 1205245552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205245552 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL ODOM JR. |
| Credential | DPT |
| Practice Address |
2430 Charles Blvd Greenville NC 27858-5924 |
| Practice Telephone | 2522159119 |
| Practice Fax Number | 2522159121 |
| Mailing Telephone | 2522159119 |
| Mailing Fax Number | 2522159121 |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2014-08-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | P15041 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093197980 | Michael Stephen Odom | Family Medicine | 103 Whitetail Dr, Walhalla, SC 29691 | 2015-06-26 |
| 1366780538 | Michael Odom | Case Manager/Care Coordinator | 1500 E Kay St, Compton, CA 90221-1752 | 2013-01-23 |
| 1700175536 | Michael Ryan Odom | Family Medicine | 9300 Dewitt Loop, Ft Belvoir, VA 22060-5285 | 2011-04-01 |
| 1386655298 | Michael Odom | Pediatrics | 7703 Floyd Curl Dr, Mc 7977, San Antonio, TX 78229-3901 | 2006-08-10 |
| Street Address |
2430 CHARLES BLVD |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27858-5924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811987498 | Carmen Larae Mcdonald | Physical Therapist | 2430 Charles Blvd, Greenville, NC 27858-5924 | 2005-10-25 |
| 1992982276 | Greenville Physical Therapy and Associates, Inc | Physical Therapist | 2430 Charles Blvd, Greenville, NC 27858-5924 | 2008-01-29 |
| 1306991856 | Leslie B. Clark | Physical Therapist | 2430 Charles Blvd, Greenville, NC 27858-5924 | 2007-01-24 |
| 1528175023 | Sherrie Denise Odom | Physical Therapist | 2430 Charles Blvd, Greenville, NC 27858-5924 | 2006-08-23 |
| 1760599245 | Lisa Rose Hoyt | Physical Therapist | 2430 Charles Blvd, Greenville, NC 27858-5924 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740890797 | Kari Melissa Carr | Counselor | 4410 Health Sciences Building, Greenville, NC 27858 | 2020-08-05 |
| 1518584705 | Apriann Marchelle Sutton | Social Worker | 2050 Eastgate Dr., # E, Greenville, NC 27858 | 2020-07-03 |
| 1174145338 | Matthew Charles Whited | Psychologist | Pass Clinic Rawl Building Room 311, East Carolina University, Greenville, NC 27858 | 2020-05-11 |
| 1760025043 | Brooke Elizabeth Wallace | Occupational Therapist | 740 Greenville Blvd, Ste 400 #133, Greenville, NC 27858 | 2019-10-19 |
| 1770141699 | Andrew Pickett | Specialist/Technologist | 130b Scales Field House, Ecu, Greenville, NC 27858 | 2019-06-05 |
| 1659836591 | Advanced Regenerative Care, Pllc | Physical Medicine & Rehabilitation | 504 C Red Banks Road, Greenville, NC 27858 | 2019-02-05 |
| 1316410996 | East Carolina Acupuncture Inc | Acupuncturist | 211 Commerce Street, Suite A, Greenville, NC 27858 | 2019-01-07 |
| 1922597368 | Kevin Westbrook | Respiratory Therapist, Registered | 513 Abington Court, Greenville, NC 27858 | 2018-05-01 |
| 1871090167 | Faith Based Counseling Services, LLC | Counselor | 235 Commerece Street, Greenville, NC 27858 | 2018-04-12 |
| 1639677800 | Marcus Brian Ward, Dmd, Pa | Clinic/Center | 3912 East 10th St., Greenville, NC 27858 | 2018-01-23 |
| Find all providers in zip 27858 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104437284 | Samantha Elizabeth Lucey | Physical Therapist | 2470 Emerald Pl Ste B, Greenville, NC 27834-5786 | 2020-08-12 |
| 1700411519 | Brooke Anna Novia | Physical Therapist | 103 N Main St Ste 201, Greenville, SC 29601-2756 | 2020-03-12 |
| 1164068979 | Madison Nichole Larimer | Physical Therapist | 535 W Butler Rd Ste A, Greenville, SC 29607-4833 | 2019-11-27 |
| 1932744117 | Melanie Amber Book | Physical Therapist | 4211 Joe Ramsey Blvd E Ste 216, Greenville, TX 75401-7848 | 2019-11-12 |
| 1780239020 | Willis Physical Therapy Group Pllc | Physical Therapist | 3800 Joe Ramsey Blvd E Ste B, Greenville, TX 75401-7778 | 2019-08-05 |
| 1346801107 | Rachel Jane Larson | Physical Therapist | 1007 Grove Rd Ste C, Greenville, SC 29605-4630 | 2019-06-24 |
| 1932762291 | Theron Ross Livingston | Physical Therapist | 27 S Pleasantburg Dr Ste 130, Greenville, SC 29607-2577 | 2019-04-22 |
| 1558835959 | Rebecca Collins Kelly | Physical Therapist | 1014 Wade Hampton Blvd Ste 6, Greenville, SC 29609-5061 | 2019-01-18 |
| 1356816748 | Cassie Morgan Ringstaff | Physical Therapist | 200 Patewood Dr # C250, Greenville, SC 29615-3593 | 2018-10-11 |
| 1598249468 | Brian Egge | Physical Therapist | 823 S Church St Apt 1232, Greenville, SC 29601-4742 | 2018-09-18 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 27858 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.