Active NPI
Elaine Ka Odell
- Physical Therapist
- Overland Park, KS
National Provider Identifier
1013167725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11-01200
- Practice address
- 5901 W 107TH St
Overland Park, KS 66207-3882 - Phone
- (913) 901-8200
- Fax
- (913) 383-2160
- NPI assigned
- Sep 30, 2008
- Last updated
- Sep 30, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11-01200 | KS | Primary |
Addresses
Primary practice location
5901 W 107TH St
Overland Park, KS 66207-3882
Mailing address
5901 W 107TH St
Overland Park, KS 66207-3882
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11-01200 | KS | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222732800000",
"number": "1013167725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5901 W 107TH ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662073882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5901 W 107TH ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662073882",
"telephone_number": "913-901-8200",
"fax_number": "913-383-2160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODELL",
"first_name": "ELAINE",
"middle_name": "KA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-30",
"last_updated": "2008-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "11-01200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.