Active NPI
Ken Utzinger LPT PC
- Physical Therapist
- Odessa, TX
National Provider Identifier
1356564074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 623050000
- Legal business name
- KEN UTZINGER LPT PC
- Practice address
- 818 N Maple
Odessa, TX 79761-2808 - Phone
- (432) 337-4649
- Fax
- (432) 337-0354
- NPI assigned
- Apr 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenneth J Utzinger
- Title
- Owner
- Phone
- (432) 337-4649
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 623050000 | TX | Primary |
Addresses
Primary practice location
818 N Maple
Odessa, TX 79761-2808
Mailing address
818 N Maple
Odessa, TX 79761-2808
Phone (432) 337-4649
Other names 1
- Sagebrush Physical Therapy
National Provider Directory
National Provider DirectoryLocations
818 Maple Ave
Odessa, TX 79761
Phone (432) 337-4649
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Odessa, TX
- NPI 1376691121
-
- Physical Therapy Assistant
- Odessa, TX
- NPI 1295958924
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1332806400000",
"number": "1356564074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "818 N MAPLE",
"city": "ODESSA",
"state": "TX",
"postal_code": "797612808",
"telephone_number": "432-337-4649",
"fax_number": "432-337-0354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "818 N MAPLE",
"city": "ODESSA",
"state": "TX",
"postal_code": "797612808",
"telephone_number": "432-337-4649",
"fax_number": "432-337-0354"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEN UTZINGER LPT PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-11",
"last_updated": "2012-03-27",
"status": "A",
"authorized_official_last_name": "UTZINGER",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "432-337-4649"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "TX",
"license": "623050000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sagebrush Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Odessa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.