Individual provider Active NPI

Emily Delain Odom, DPT

  • Physical Therapist
  • Denton, TX
National Provider Identifier
1376166355
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
5017 Teasley LN Ste 161
Denton, TX 76210-3895
Phone
(940) 220-2283
NPI assigned
May 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

5017 Teasley LN Ste 161
Denton, TX 76210-3895

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other practice location 1

1400 S Mercey Springs Rd Ste 1
Los Banos, CA 93635-4928
Phone (209) 710-1011

Other practice location 2

57 Bedford St Ste 202
Lexington, MA 02420-4550
Phone (781) 541-5111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, TX, WA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20231031000679 MA Practitioner - Physical Therapist in Private Practice 4688090640 Reassigns benefits to 1 organization
I20241216000396 TX Practitioner - Physical Therapist in Private Practice 4688090640 Reassigns benefits to 2 organizations
I20250822002435 WA Practitioner - Physical Therapist in Private Practice 4688090640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

31653 Pacific Hwy S
Suite B
Federal Way, WA 98003-5496
Phone (253) 252-7137

Merit-based Incentive Payment System (MIPS)

Final score
85.56 of 100Reported as group
Quality
89.48
Improvement activities
40
Cost
71.16

Merit-based Incentive Payment System (MIPS)

Final score
85.19 of 100Reported as group
Quality
86.04
Improvement activities
40
Cost
76.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Oct 5, 2023 Accepting new patients
Multicare Health System Current Accepting new patients
Multicare Health System CurrentSince Aug 1, 2025 Accepting new patients
Multicare Health System Physical Therapist CurrentSince Aug 1, 2025 Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Oct 5, 2023 Accepting new patients
Ideal Physical Therapy of Texas LLC CurrentSince Oct 6, 2024 Accepting new patients
Ideal Physical Therapy of Texas LLC Physical Therapist CurrentSince Oct 6, 2024 Accepting new patients
Empower Physical Therapy TX LLC Physical Therapist CurrentSince Nov 13, 2024 Accepting new patients
Carl Gustafson LLC Physical Therapist Past Accepting new patients
Multicare Health System Physical Therapist Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

33377 Collection Ctr Dr
Chicago, IL 60693
Phone (617) 284-9418

24014 W Renwick Rd
Ste 206
Plainfield, IL 60544

101 University Dr
Ste A6
Amherst, MA 01002
Phone (413) 336-5703

284 Trapelo Rd
Belmont, MA 02478
Phone (857) 626-3284

57 Bedford St
Ste 202
Lexington, MA 02420
Phone (781) 541-5111

4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325

5718 Spohn Dr
Ste 200
Corpus Christi, TX 78414
Phone (361) 906-2062

5017 Teasley Ln
Ste 161
Denton, TX 76210
Phone (940) 220-2283

8150 Highway 26
North Richlnd Hls, TX 76180
Phone (817) 349-2777

5400 Brodie Ln
Ste 295
Sunset Valley, TX 78745
Phone (512) 676-3949

31653 Pacific Hwy S
Ste B
Federal Way, WA 98003
Phone (253) 252-7137

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1590364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1376166355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5017 TEASLEY LN STE 161",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762103895",
            "telephone_number": "940-220-2283"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 S Mercey Springs Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Los Banos",
            "state": "CA",
            "postal_code": "936354928",
            "country_code": "US",
            "telephone_number": "209-710-1011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "57 Bedford St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "MA",
            "postal_code": "024204550",
            "country_code": "US",
            "telephone_number": "781-541-5111",
            "fax_number": "781-541-5115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ODOM",
        "first_name": "EMILY",
        "middle_name": "DELAIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-25",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.