Organization Active NPI

Odyssey Health Care Inc.

  • Physical Therapy Clinic/Center
  • Ardmore, OK
National Provider Identifier
1144268285
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
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

Updated by the provider on May 1, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100747650CMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

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

Verify at the official NPI Registry.