Skyler Shanelle O'Dell, LMT

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

12589 Issued in TN

Practice address

9041 Executive Park Dr Ste 118
Knoxville, TN 37923-4603

Phone

(865) 399-2055

NPI assigned

Nov 27, 2018

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543276800000",
    "number": "1124598677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9041 EXECUTIVE PARK DR STE 118",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234603",
            "telephone_number": "865-399-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9041 EXECUTIVE PARK DR STE 118",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234603",
            "telephone_number": "865-399-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DELL",
        "first_name": "SKYLER",
        "middle_name": "SHANELLE",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-27",
        "last_updated": "2018-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "TN",
            "license": "12589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maci Nicole O'Connor, PA
• P. Ann O'Connor X, PH.D.
• Robert Austin O'Connor, MD
• Tara Rose O'Connor, M.S./CF-SLP
• Kathryn O'Dell, MPT
• Stacy Ann O'Dell, B.A.
• Thomas Barry O'Flanagan
• Esther Marie O'Hare, APN
• Kenneth R O'Kelley, MD
• Cory O'Lear-Zebroski

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.