Tracey O'Dell, PT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

05004895A Issued in IN

Practice address

9957 Allisonville Rd
Fishers, IN 46038-2006

Phone

(317) 841-7005

Fax

(317) 841-7029

NPI assigned

Oct 10, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Theracare Inc

  • Rehabilitation Clinic/Center
  • Osceola, IN
  • NPI 1811165269
  NPD (past)
• Theracare Inc.

  • Rehabilitation Clinic/Center
  • Fishers, IN
  • NPI 1023052339

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1318204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318204800000",
    "number": "1366726382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10188 RIVERWOOD AVE",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460628810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9957 ALLISONVILLE RD",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382006",
            "telephone_number": "317-841-7005",
            "fax_number": "317-841-7029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DELL",
        "first_name": "TRACEY",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-10",
        "last_updated": "2011-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "IN",
            "license": "05004895A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hailey O Bryant
• Roberta P O'Boyle
• Kurtis O'Brien, LCSW
• Paula Jean O'Connor, O.T.R.
• Jentry E O'Daniel, PA
• Michael P. O'Neil, DDS
• Hannah Elizabeth O'Rear
• Christine Irene Oakley, MD
• Krystal Faye Oakley, MS, OTD, OTR
• Lori Kay Obenauf Digregory

• Pediatric Physical Therapist in Fishers, IN
• Providers in Fishers, IN by specialty
• Pediatric Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; 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.