Organization Active NPI

Ken Utzinger LPT PC

  • Physical Therapist
  • Odessa, TX
National Provider Identifier
1356564074
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
623050000 Issued in TX
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

Updated by the provider on Mar 27, 2012

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.