Odis A Prunty, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT011534 Issued in OH

Practice address

6099 Riverside Dr Ste 207
Dublin, OH 43017-2004

Phone

(740) 953-1184

NPI assigned

Jul 10, 2024

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Enliven Rehabilitation Services LLCGroup PAC ID 1850626375, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Enliven Rehabilitation Services LLC

  • Physical Therapist
  • Gahanna, OH
  • NPI 1386202554
  Medicare reassignment Care Compare group
• Total Care Therapy LLC

  • Physical Therapist
  • Dublin, OH
  • NPI 1639717812

  Occupational Therapist

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1043057789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6099 RIVERSIDE DR STE 207",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430172004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6099 RIVERSIDE DR STE 207",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430172004",
            "telephone_number": "740-953-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUNTY",
        "first_name": "ODIS",
        "middle_name": "A",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT011534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Promise Health Care Services, LLC
• Propel Pharmacy Ohio LLC
• David Prosen, LPCC,
• Bridget McCrate Protus, PHARMD, RPH
• Makala Pruitt
• Connor Bradly Prusz, PA-C
• Lanie G Prye
• Psychological Sleep Services
• Manoshi B Pugh, M.D.
• Kim Pullins

• Occupational Therapist in Dublin, OH
• Providers in Dublin, OH by specialty
• Occupational Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.