Active NPI
Steven O'Donnell, PT
- Physical Therapist
- Orangevale, CA
National Provider Identifier
1164511010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT27002
- Practice address
- 8600 Quail Oak Way
Orangevale, CA 95662-4430 - Phone
- (916) 847-3548
- Fax
- (916) 988-1106
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | PT27002 | CA | Primary |
Addresses
Primary practice location
8600 Quail Oak Way
Orangevale, CA 95662-4430
Mailing address
8600 Quail Oak Way
Orangevale, CA 95662-4430
Phone (916) 847-3548
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0PT270023 | Other | CA | MEDICARE ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT27002 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Dorado Physical Therapy & Associates | Physical Therapist | Past | Accepting new patients |
| O'Donnell Physical Therapy Corp. | Past | Accepting new patients |
Organizations & group practices 2
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 Therapy Clinic/Center
- Folsom, CA
- NPI 1124305966
-
- Physical Therapist
- El Dorado Hills, CA
- NPI 1275526857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446163200000",
"number": "1164511010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8600 QUAIL OAK WAY",
"city": "ORANGEVALE",
"state": "CA",
"postal_code": "956624430",
"telephone_number": "916-847-3548",
"fax_number": "916-988-1106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8600 QUAIL OAK WAY",
"city": "ORANGEVALE",
"state": "CA",
"postal_code": "956624430",
"telephone_number": "916-847-3548",
"fax_number": "916-988-1106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'DONNELL",
"first_name": "STEVEN",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2015-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT27002",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "0PT270023",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orangevale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.