Active NPI
Taylor Nichole O'Dell
- Physical Therapist
- The Woodlands, TX
National Provider Identifier
1073157467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 6767 Lake Woodlands Dr Unit F
The Woodlands, TX 77382-2566 - Phone
- (281) 364-1122
- NPI assigned
- Oct 29, 2019
- 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 | Primary |
Addresses
Primary practice location
6767 Lake Woodlands Dr Unit F
The Woodlands, TX 77382-2566
Mailing address
25715 Drybrook Rd
Spring, TX 77389-3468
Phone (713) 818-8479
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572307200000",
"number": "1073157467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25715 DRYBROOK RD",
"city": "SPRING",
"state": "TX",
"postal_code": "773893468",
"telephone_number": "713-818-8479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6767 LAKE WOODLANDS DR UNIT F",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773822566",
"telephone_number": "281-364-1122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'DELL",
"first_name": "TAYLOR",
"middle_name": "NICHOLE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-29",
"last_updated": "2019-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in The Woodlands, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.