Individual provider Active NPI

Kelsi Odell, PT, DPT

  • Physical Therapist
  • Stillwater, OK
National Provider Identifier
1174239529
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6187 Issued in OK
Practice address
2022 Cedar CT
Stillwater, OK 74075-8256
Phone
(918) 237-8520
NPI assigned
Jan 30, 2023
Last updated
Jan 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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 6187 OK Primary

Addresses

Primary practice location

2022 Cedar CT
Stillwater, OK 74075-8256

Mailing address

2022 Cedar CT
Stillwater, OK 74075-8256
Phone (918) 237-8520

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231116000727 OK Practitioner - Physical Therapist in Private Practice 8820445604 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oasis Physical TherapyGroup PAC ID 5294182077, 2 clinicians

Practice addresses (Care Compare)

116 W 7TH Ave
Suite 311
Stillwater, OK 74074-4001
Phone (405) 871-5826

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6187OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Renew Physical Therapy Specialists PLLC Physical Therapist CurrentSince Sep 1, 2023 Accepting new patients
Oasis Physical Therapy Physical Therapist CurrentSince Sep 1, 2023 Accepting new patients

Locations

116 W 7th Ave
Ste 311
Stillwater, OK 74074
Phone (405) 871-5826

4765 E 91st St
Ste 100
Tulsa, OK 74137
Phone (539) 444-4229

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1174239529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2022 CEDAR CT",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740758256",
            "telephone_number": "918-237-8520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2022 CEDAR CT",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740758256",
            "telephone_number": "918-237-8520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODELL",
        "first_name": "KELSI",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "6187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.