Odessa Physical Therapy PC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ODESSA PHYSICAL THERAPY PC

Practice address

4407 N Grandview Ave
Odessa, TX 79762-5311

Phone

(432) 366-9541

Fax

(432) 366-1951

NPI assigned

May 15, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Larry Charles Feeler, PTNPI 1992716971

Title

President

Phone

(432) 366-9541

Specialties & licenses 1

Addresses

Tax ID family

Odessa Physical Therapy2 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.

• Odessa Physical Therapy PC

  • Physical Therapist
  • Odessa, TX
  • NPI 1609873439
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Larry C Feeler, PT

  • Physical Therapist
  • Odessa, TX
  • NPI 1992716971
  Authorized official Same address or phone

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295941656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4407 N GRANDVIEW AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797625311",
            "telephone_number": "432-366-9541",
            "fax_number": "432-366-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4407 N GRANDVIEW AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797625311",
            "telephone_number": "432-366-9541",
            "fax_number": "432-366-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODESSA PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FEELER",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "432-366-9541",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Odessa I Enterprises, LLC (Buena Vida Nursing & Rehab Odessa)
• Odessa II Enterprises, LLC (Deerings Nursing and Rehabilitation)
• Odessa Mall FDC PA
• Odessa Medical Enterprises PLLC (Khavar J. Dar, MD)
• Odessa Orthopedic Associates PLLC
• Odessa Physical Therapy PC
• Odessa Physician Associates, PLLC
• Odessa Physician Associates, PLLC
• Odessa Premium Care
• Odessa Primary Care PLLC

• Durable Medical Equipment & Medical Supplies in Odessa, TX
• Providers in Odessa, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.