ODESSA PHYSICAL THERAPY PC (NPI# 1295941656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295941656 |
| Entity Type | Organization |
| Organization Name | ODESSA PHYSICAL THERAPY PC |
| Practice Address |
4407 N Grandview Ave Odessa TX 79762-5311 |
| Practice Telephone | 4323669541 |
| Practice Fax Number | 4323661951 |
| Mailing Telephone | 4323669541 |
| Mailing Fax Number | 4323661951 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. LARRY CHARLES FEELER (PRESIDENT) |
| Authorized Official Telephone | 4323669541 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | TX | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609873439 | Odessa Physical Therapy PC | Physical Therapist | 4407 N Grandview Ave, Odessa, TX 79762-5311 | 2005-07-07 |
| Street Address |
4407 N GRANDVIEW AVE |
| City | ODESSA |
| State | TX |
| Zip Code | 79762-5311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609873439 | Odessa Physical Therapy PC | Physical Therapist | 4407 N Grandview Ave, Odessa, TX 79762-5311 | 2005-07-07 |
| 1932753977 | Katie L Reeves | Occupational Therapist | 4407 N Grandview Ave, Odessa, TX 79762-5311 | 2019-07-29 |
| 1124509013 | Alexis Lizbeth Hernandez | Physical Therapist | 4407 N Grandview Ave, Odessa, TX 79762-5311 | 2018-08-28 |
| 1720489073 | Denise Sullivan | Physical Therapist | 4407 N Grandview Ave, Odessa, TX 79762-5311 | 2014-09-05 |
| 1770982357 | Taylor Mcculloch | Physical Therapist | 4407 N Grandview Ave, Odessa, TX 79762-5311 | 2014-08-19 |
| 1497154249 | Michelle Stewart | Physical Therapist | 4407 N Grandview Ave, Odessa, TX 79762-5311 | 2014-08-18 |
| 1912252552 | Jaymie L Fletcher | Physical Therapist | 4407 N Grandview Ave, Odessa, TX 79762-5311 | 2012-07-19 |
| 1215948294 | Brian P Brady | Physical Therapist | 4407 N Grandview Ave, Odessa, TX 79762-5311 | 2006-08-11 |
| 1992716971 | Larry C Feeler | Physical Therapist | 4407 N Grandview Ave, Odessa, TX 79762-5311 | 2006-08-11 |
| 1659382810 | Wade H Shelby | Physical Therapist | 4407 N Grandview Ave, Odessa, TX 79762-5311 | 2006-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982256798 | Winwood Dental and Orthodontics Pllc | Dentist | 3913 E 42nd Street, Odessa, TX 79762 | 2019-07-11 |
| 1265995716 | Ryan Daniels | Specialist/Technologist | 4901 E University, Gym 111, Odessa, TX 79762 | 2019-04-11 |
| 1215429592 | Michael Wayne Samp | Respiratory Therapist, Registered | 2807 Windsor Dr, Odessa, TX 79762 | 2018-06-03 |
| 1972003663 | Kristi Young | Registered Nurse | 3800 E. 42nd St., Suite 203 Attn: Pediatric Dept, Odessa, TX 79762 | 2018-02-19 |
| 1427508902 | Whitney Diakur | Optometrist | 5011 E. 42nd St, Odessa, TX 79762 | 2016-10-10 |
| 1295184927 | Farqad Kamal Abuoudeh | Dentist | 6109 Tx-191 Frontage, Odessa, TX 79762 | 2016-06-03 |
| 1457714180 | Daniel & Max, LLC | Optometrist | 5011 E. 42nd Street, Odessa, TX 79762 | 2016-03-31 |
| 1407225774 | Neri Campos-gardea | Massage Therapist | 3952 E 42d, Odessa, TX 79762 | 2015-09-17 |
| 1508255886 | Permian Er IIi | Clinic/Center | 6131 East Highway 191, Odessa, TX 79762 | 2015-01-09 |
| 1548675861 | Tina Desai | Dentist | 6109 Texas 191, Odessa, TX 79762 | 2014-06-25 |
| Find all providers in zip 79762 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184238321 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 15996 Preserve Marketplace Blvd, Odessa, FL 33556-5513 | 2020-09-04 |
| 1700409240 | All In One Dme LLC | Durable Medical Equipment & Medical Supplies | 17086 Simms Road, Odessa, FL 33556 | 2020-05-19 |
| 1578123287 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 13589 State Road 54, Odessa, FL 33556 | 2019-06-14 |
| 1710466610 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3050 W University Blvd, Odessa, TX 79764 | 2018-08-10 |
| 1023556958 | Anika Bell | Durable Medical Equipment & Medical Supplies | 4002 Melody Ln, Odessa, TX 79762-5715 | 2017-02-12 |
| 1821548876 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1230 E 8th St, Odessa, TX 79761-4638 | 2016-10-13 |
| 1861814618 | Odessa Medical Supply | Durable Medical Equipment & Medical Supplies | 6614 Thoroughbred Loop, Odessa, FL 33556-1813 | 2014-01-14 |
| 1043446685 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 100 East University Blvd., Odessa, TX 79762 | 2009-06-10 |
| 1831359942 | Scooter Direct Inc. | Durable Medical Equipment & Medical Supplies | 11431 Challenger Ave, Odessa, FL 33556-3446 | 2008-06-11 |
| 1629244264 | Curb Care, LLC | Durable Medical Equipment & Medical Supplies | 2905 Byron Ave, Odessa, TX 79762-7934 | 2008-05-04 |
| Find all providers in ODESSA | ||||
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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.