Kaycee Odziana, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5502003709 Issued in MI

Practice address

52503 Stafford Dr
Macomb, MI 48042-3816

Phone

(586) 430-1333

Fax

(586) 430-4691

NPI assigned

Sep 14, 2020

Last updated

Sep 14, 2020By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Remedy Home Health, Inc.

  • Physical Therapist
  • Macomb, MI
  • NPI 1104386143

  Physical Therapy Assistant

  NPD

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1134734452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52503 STAFFORD DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480423816",
            "telephone_number": "586-430-1333",
            "fax_number": "586-430-4691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52503 STAFFORD DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480423816",
            "telephone_number": "586-430-1333",
            "fax_number": "586-430-4691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODZIANA",
        "first_name": "KAYCEE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502003709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loren David Nowc, OTR
• Bridgett Nowicki
• Nurturing Connections L.L.C.
• Nicole Marie O'Meara
• Amanda Marlene Oaks
• Kimberly Olszewski
• Open Arms Home Help, LLC
• Nora Orallo, RN
• Sharon Lee Ortwein, PT
• Suzanne Osinski

• Physical Therapy Assistant in Macomb, MI
• Providers in Macomb, MI by specialty
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.