Active NPI
Noah James O'Dell, PT, DPT
- Physical Therapist
- West Haverstraw, NY
National Provider Identifier
1083440507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 053093
- Practice address
- 51-55 N Route 9W
West Haverstraw, NY 10993-1195 - Phone
- (845) 786-4617
- NPI assigned
- Sep 11, 2024
- Sex
- Male
- 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 | 053093 | NY | Primary |
Addresses
Primary practice location
51-55 N Route 9W
West Haverstraw, NY 10993-1195
Mailing address
51-55 N Route 9W
West Haverstraw, NY 10993-1195
Phone (845) 786-4617
Other practice location 1
48 Route 6
Yorktown Heights, NY 10598-6349
Phone (914) 302-2190
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- New York Medical College, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
48 Route 6
Suite 104
Yorktown Heights, NY 10598-6350
Phone (914) 302-2190
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 053093 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soaring Eagle Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
Locations
48 Route 6
Ste 104
Yorktown Heights, NY 10598
Phone (914) 302-2190
Organizations & group practices 1
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.
-
- Physical Therapist
- Yorktown Heights, NY
- NPI 1346285194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770681600000",
"number": "1083440507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51-55 N ROUTE 9W",
"city": "WEST HAVERSTRAW",
"state": "NY",
"postal_code": "109931195",
"telephone_number": "845-786-4617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51-55 N ROUTE 9W",
"city": "WEST HAVERSTRAW",
"state": "NY",
"postal_code": "109931195",
"telephone_number": "845-786-4617"
}
],
"practiceLocations": [
{
"address_1": "48 Route 6",
"address_purpose": "LOCATION",
"city": "Yorktown Heights",
"state": "NY",
"postal_code": "105986349",
"country_code": "US",
"telephone_number": "914-302-2190",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'DELL",
"first_name": "NOAH",
"middle_name": "JAMES",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-11",
"last_updated": "2026-02-10",
"certification_date": "2026-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "053093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Haverstraw, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; 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.