Susana Odia, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1075 93Rd St
Apt. # 302
Bay Harbor Islands, FL 33154-2389

Phone

(305) 866-2629

NPI assigned

Jul 22, 2008

Last updated

Feb 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1275798027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 HOLLYWOOD BLVD",
            "address_2": "APT.# 302",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330206605",
            "telephone_number": "954-456-0250",
            "fax_number": "954-456-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 93RD ST",
            "address_2": "APT. # 302",
            "city": "BAY HARBOR ISLANDS",
            "state": "FL",
            "postal_code": "331542389",
            "telephone_number": "305-866-2629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODIA",
        "first_name": "SUSANA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-22",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "23923",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Bay Harbor Islands, FL
• Providers in Bay Harbor Islands, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.