Individual provider Active NPI

Steven O'Donnell, PT

  • Physical Therapist
  • Orangevale, CA
National Provider Identifier
1164511010
Registry record updated Oct 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT27002 Issued in CA
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

Updated by the provider on Oct 30, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0PT270023OtherCAMEDICARE 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

LicenseStateTypeSpecialty
PT27002CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
El Dorado Physical Therapy & Associates Physical Therapist PastSince Jun 1, 2004 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.

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.

Verify at the official NPI Registry.