Active NPI
Lauren Quigley Odell, MSPT
- Physical Therapist
- Vernon, CT
National Provider Identifier
1346204237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7724
- Practice address
- 428 Hartford Tpke
Vernon, CT 06066-4841 - Phone
- (860) 871-2508
- Fax
- (860) 871-1478
- NPI assigned
- Apr 17, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 7724 | CT | Primary |
Addresses
Primary practice location
428 Hartford Tpke
Vernon, CT 06066-4841
Mailing address
428 Hartford Tpke
Vernon, CT 06066-4841
Phone (860) 871-2508
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080007724CT03 | Other | CT | ANTHEM BC/BS |
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 |
|---|---|---|---|
| 7724 | CT | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Physical Therpy PC | Physical Therapist | Past | Accepting new patients |
| Pinnacle Rehabilitation Network LLC | Physical Therapist | 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.
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- Manchester, CT
- NPI 1891732160
-
- Physical Therapist
- Freeport, ME
- NPI 1235940388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239148800000",
"number": "1346204237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "428 HARTFORD TPKE",
"city": "VERNON",
"state": "CT",
"postal_code": "060664841",
"telephone_number": "860-871-2508",
"fax_number": "860-871-1478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "428 HARTFORD TPKE",
"city": "VERNON",
"state": "CT",
"postal_code": "060664841",
"telephone_number": "860-871-2508",
"fax_number": "860-871-1478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODELL",
"first_name": "LAUREN",
"middle_name": "QUIGLEY",
"name_prefix": "Mrs.",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-17",
"last_updated": "2009-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "7724",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "080007724CT03",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vernon, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.