Active NPI
Odyssey Health Care Inc.
- Physical Therapy Clinic/Center
- Ardmore, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- ODYSSEY HEALTH CARE INC.
- Practice address
- 2 W Main St
Suite 200
Ardmore, OK 73401-6503 - Phone
- (580) 223-3383
- Fax
- (580) 223-6696
- NPI assigned
- Jun 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert Blackwell
- Title
- President
- Phone
- (580) 223-3383
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
2 W Main St
Suite 200
Ardmore, OK 73401-6503
Mailing address
2 W Main St
Suite 200
Ardmore, OK 73401-6503
Phone (580) 223-3383
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100747650C | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111213000605 | OK | Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | 3678481785 | Practice locations: Ardmore, OK |
Outpatient physical therapy / speech pathology certification: CCN 376595
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- ODYSSEY HEALTH CARE, INC
- Certification status
- Active
- Provider type (POS)
- Outpatient physical therapy / speech pathology
- Participating since
- Sep 14, 1999
- Last certification
- Sep 20, 2023
- Ownership / control type
- Proprietary
- Facility address
- 2 West Main, Suite 200
Ardmore, OK 73401
National Provider Directory
National Provider Directory- Tax ID family
- Odyssey Health Care Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Odyssey HealthCare
- Physical Therapy Clinic/Center
- Ardmore, OK
- NPI 1265515712
Locations
2 W Main St
Ste 200
Ardmore, OK 73401
Phone (580) 223-3383
1605 W Broadway Ave
Sulphur, OK 73086
Phone (580) 622-4383
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Ardmore, OK
- NPI 1770702326
-
- Physical Therapist
- Ardmore, OK
- NPI 1649333527
-
- Physical Therapy Assistant
- Ardmore, OK
- NPI 1972292100
-
- Physical Therapist
- Ardmore, OK
- NPI 1215090105
-
- Physical Therapist
- Ardmore, OK
- NPI 1902177215
-
- Physical Therapist
- Ardmore, OK
- NPI 1467892653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777593600000",
"number": "1144268285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 W MAIN ST",
"address_2": "SUITE 200",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734016503",
"telephone_number": "580-223-3383",
"fax_number": "580-223-6696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 W MAIN ST",
"address_2": "SUITE 200",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734016503",
"telephone_number": "580-223-3383",
"fax_number": "580-223-6696"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ODYSSEY HEALTH CARE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-02",
"last_updated": "2026-05-01",
"certification_date": "2026-05-01",
"status": "A",
"authorized_official_last_name": "BLACKWELL",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "580-223-3383",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100747650C",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ardmore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.